The Indian Journal of Pediatrics

, Volume 76, Issue 2, pp 207–214 | Cite as

Neonatal cardiac interventions: An Indian perspective

Symposium on Advances in Cardiology-II


Palliative interventions in newborn have been performed ever since balloon atrial septostomy was started. The scope and potential of these interventions have been extended to therapeutic interventions and also to replace palliative surgeries. The advancements have happened over the last two decades mainly due to the advancements in cardiac anesthesia of the newborn and primarily due to available hardware improving. The outcomes of these interventions have also improved significantly. The advantage of neonatal interventions is especially relevant in developing countries where limited resources, cost of procedure (lower with reused consumables), lower morbidity due to shorter ICU stay work in favor of the patient. Not only have newborn interventions become well established in centers specializing in pediatric cardiac care, but also premature babies requiring interventions have become successful. This article focuses on the spectrum of neonatal interventions in a contemporary pediatric cardiac centre in India.

Key words

Congenital heart disease Cardiac interventions Angioplasty Stent deployment 


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  1. 1.
    Saxena A, Naik N, Juneja R. Aortic valve balloon dilatation in a newborn for critical aortic stenosis diagnosed during fetal life. Indian Heart J 2001;53:95–96.PubMedGoogle Scholar
  2. 2.
    Kothari SS, Sharma SK, Naik N. Radiofrequency perforation for pulmonary atresia and intact ventricular septum. Indian Heart J 2004;56:50–53.PubMedGoogle Scholar
  3. 3.
    Mahesh K, Kannan BR, Vaidyanathan B, Kamath P, Anil SR, Kumar RK. Stenting the patent arterial duct to increase pulmonary blood flow. Indian Heart J 2005;57:704–708.PubMedGoogle Scholar
  4. 4.
    Miller SP. Balloon atrial septostomy is associated with preoperative stroke in neonates with transposition of the great arteries. Circulation 2006; 113:183–185.CrossRefGoogle Scholar
  5. 5.
    Roofthooft MT, Bergman KA, Waterbolk TW, Ebels T, Bartelds B, Berger RM. Persistent pulmonary hypertension of the newborn with transposition of the great arteries. Ann Thorac Surg 2007;83:1446–1450.PubMedCrossRefGoogle Scholar
  6. 6.
    Tabatabaei H, Boutin C, Nykanen DG, Freedom RM, Benson LN. Morphologic and hemodynamic consequences after percutaneous balloon valvotomy for neonatal pulmonary stenosis: medium-term follow-up. J Am Coll Cardiol 1996;27:479–480.CrossRefGoogle Scholar
  7. 7.
    Han RK, Gurofsky RC, Lee KJ, Dipchand AI, Williams WG, Smallhorn JF, McCrindle BW. Outcome and growth potential of left heart structures after neonatal intervention for aortic valve stenosis. J Am Coll Cardiol 2007; 50: 2406–2414PubMedCrossRefGoogle Scholar
  8. 8.
    Kohli V, Azad S, Sachdev MS, Joshi R, Makram ER.Balloon Dilation of the Pulmonary Valve in Premature Infants with Tetralogy of Fallot. Pediatr Cardiol 2008;29:946–949.PubMedCrossRefGoogle Scholar
  9. 9.
    Kohli V. Balloon dilatation of pulmonary valve in Tetralogy of Fallot’s. Indian J Pediatr 2005;72:181.PubMedGoogle Scholar
  10. 10.
    Lee CL, Lin JF, Hsieh KS, Lin CC, Huang TC. Balloon angioplasty of native coarctation and comparison of patients younger and older than 3 months. Circ J 2007; 71:1781–1784.PubMedCrossRefGoogle Scholar
  11. 11.
    Rao PS, Jureidini SB, Balfour IC, Singh GK, Chen SC. Severe aortic coarctation in infants less than 3 months: successful palliation by balloon angioplasty. J Invasive Cardiol 2003;15:202–208.PubMedGoogle Scholar
  12. 12.
    Holzer RJ, Chisolm JL, Hill SL, Cheatham JP. Stenting complex aortic arch obstructions. Catheter Cardiovascular Interventions 2008;71:375–382.CrossRefGoogle Scholar
  13. 13.
    Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in ductdependent pulmonary circulation. J Am Coll Cardiol 2004 21;44:438–445.Google Scholar
  14. 14.
    McQuillen PS, Hamrick SE, Perez MJ et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 2008;85:2063–2070.CrossRefGoogle Scholar
  15. 15.
    Kohli V, Joshi R. Central line retrieval in a neonate. Indian J Pediatr 2007;74:692–693.PubMedCrossRefGoogle Scholar
  16. 16.
    Sutton N, Lock JE, Geggel RL. Cardiac catheterization in infants weighing less than 1,500 grams. Catheter Cardiovasc Interv 2006;68:948–956.PubMedCrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2009

Authors and Affiliations

  1. 1.Pediatric Cardiology & Congenital Cardiac Surgery UnitIndraprastha Apollo HospitalNew DelhiIndia
  2. 2.Sarita ViharNew DelhiIndia

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