Transatrial access for left atrial pressure (LAP) monitoring line placement in Arterial switch operation (ASO) in neonates. | [Journal of Pakistan Medical Association • 2013]

Author(s):

1. Mohammad Irfan Akhtar: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

2. Mohammad Hamid: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

3. Muneer Amanullah: Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan

4. Khalid Ahsan: Department of Anaesthesia, Aga Khan University Hospital, Karachi, Pakistan

Abstract:

Left Atrial pressure monitoring is a useful and accurate method to guide Left ventricle filling in the patients who undergo Arterial switch operation for transposition of great arteries. We have used a different technique in three TGA patients for LA pressure monitoring line placement. After cleaning and draping,right internal jugular vein (rt IJV) located through 22G venous cannula, guide wire was put in followed by sliding the 22Gx8cm vygon arterial catheter over the guide wire into the right atrium that was directed transatrially into LA by the operating surgeon during atrial septum repair. The catheter was secured by silk on the neck and dressed with transparent dressing and was kept for a period of 48-72hrs. LA pressure monitoring is helpful in anticipating LV dysfunction in ASO.

Page(s): 1430-1432

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 63, Issue: 11, Year: 2013

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views