A Neonate With TGA and Restrictive Foramen Ovale: How to Apply Ordinary Catheterization Through the Umbilical Vein to Rescue the Neonate, a Case Report

Renata Bokiniec, Katarzyna Kufel, Maria K. Borszewska-Kornacka, Joanna Szymkiewicz-Dangel


Transposition of the great vessels (TGA), particularly with a restrictive foramen ovale (FO), constitutes a direct threat to neonatal life in the first hours of life. Poor mixing of oxygenated and deoxygenated blood leads to severe cyanosis and death. Administration of prostaglandin E1 (Alprostadil) to maintain the patency of the arterial duct allows an increase of the pulmonary blood flow and its return to the left atrium. In cases of TGA with restricted interatrial communication, higher pressure in the left atrium causes closing of the FO flap and better mixing cannot be achieved. In such cases, urgent balloon atrial septostomy (BAS - Rashkind procedure) is the method of choice. It enables mixing of the blood and survival of the child until the surgical procedure can be performed. We present the case of a neonate in whom the FO flap was opened by introducing an ordinary catheter (3.5 French) via the umbilical vein. The procedure was performed, with good effect, at a neonatal center that had no facilities for invasive cardiology treatment.

J Med Cases. 2014;5(10):529-531
doi: http://dx.doi.org/10.14740/jmc1853w


TGA; Restrictive patent foramen ovale; Umbilical vein catheterization

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.