Abstract
Balloon atrial septostomy is a palliative procedure currently used to bridge medically refractory pulmonary hypertension patients to lung transplantation. In the current report, we present balloon atrial septostomy as an initial therapy for high-risk pediatric pulmonary hypertension patients at our institution. Nineteen patients with median age of 4.3 years (range 0.1-14.3 years) underwent balloon atrial septostomy during initial admission for pulmonary hypertension. There were no procedural complications or deaths within 24 h of balloon atrial septostomy. Patients were followed for a median of 2.6 years (interquartile range 1.0-4.8 years). Three (16%) patients died, 3 (16%) underwent lung transplantation, and 1 (5%) underwent reverse Potts shunt. Transplant-free survival at 30 days, 1 year, and 3 years was 84%, 76%, and 67% respectively. This single-center experience suggests early-BAS in addition to pharmacotherapy is safe and warrants consideration in high-risk pediatric pulmonary hypertension patients.
Document Type
Article
Publication Date
10-1-2020
Digital Object Identifier (DOI)
https://doi.org/10.1177/2045894020958970
Repository Citation
Critser, Paul J.; Evers, Patrick D.; McGovern, Eimear; Cash, Michelle; and Hirsch, Russel, "Balloon Atrial Septostomy as Initial Therapy in Pediatric Pulmonary Hypertension" (2020). Pediatrics Faculty Publications. 308.
https://uknowledge.uky.edu/pediatrics_facpub/308
Notes/Citation Information
Published in Pulmonary Circulation, v. 10, issue 4.
© The Author(s) 2020
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