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  • Title: Blade atrial septostomy: collaborative study.
    Author: Park SC, Neches WH, Mullins CE, Girod DA, Olley PM, Falkowski G, Garibjan VA, Mathews RA, Fricker FJ, Beerman LB, Lenox CC, Zuberbuhler JR.
    Journal: Circulation; 1982 Aug; 66(2):258-66. PubMed ID: 7094235.
    Abstract:
    During the past 4 years, five institutions have collaborated in evaluating the efficacy of blade atrial septostomy. The procedure was performed in 52 patients, including 31 with transposition of the great arteries, 10 with mitral atresia, five with tricuspid atresia and six with miscellaneous anomalies. The patient's ages ranged from 1 day to 12 years (mean 13 months). Improvement occurred in 41 of 52 patients (79%). Four patients had an intact interatrial septum, and blade atrial septostomy was successfully performed by a transseptal technique. One patient died from a lacerated left atrial wall; other complications occurred in four patients. Blade atrial septostomy is an effective palliative procedure, even when the interatrial septum is thickened or intact.
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