Transposition of the great arteries
Atrioseptostomy balloon
The balloon measures 1 - 1.5 cm in diameter.
What is the Rashkind atrial septostomie?
The Rashkind atrial septostomy, also called Rashkind manoeuvre, is an interventional cardiology procedure performed as soon as possible after birth in newborns with transposition of the great arteries.
In transposition of the great vessels, the pulmonary ("small circulation") and systemic ("large circulation") blood circulations occur in parallel rather than in series. The Rashkind maneuver aims to artificially create a wide communication between the right atrium and the left atrium.
Performing the Rashkind maneuver:
The procedure is performed as an emergency on a sedated newborn or under general anesthesia.
A catheter with an inflatable balloon is introduced through the femoral vein or umbilical vein and directed into the left atrium via the foramen ovale. The balloon is inflated to enlarge this communication. The increase in arterial oxygen saturation assesses the effectiveness of the maneuver.
Does Rashkind 's maneuver carry risks?
Coronary complications : They can occur and represent the main cause of secondary mortality .
Bleeding: As with any procedure, there is a risk of bleeding associated with the manipulation of blood vessels.
Vascular damage: The catheter may damage blood vessels during insertion.
Allergic reaction: The use of radiological contrast agents can cause allergic reactions in some patients.
What benefits can we expect from Rashkind's maneuver?
Rashkind maneuver allows better oxygenation of blood for efficient perfusion of organs and tolerating life. It is followed by cardiac repair surgery.
Transposition of the great arteries
Rashkind atrial septostomy
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