Rashkind balloon atrial septostomy

The Rashkind maneuver ( Syn: Rashkind - atrioseptostomy, Ballonseptostomie ), named after the American surgeon WJ Rashkind, is a palliative cardiac catheter intervention in pediatric cardiology. Here, the atrial septum is torn by means of a balloon catheter to achieve an artificial atrial septal defect with subsequent left- to-right shunt in order to ensure the survival of a child with transposition of the great arteries without simultaneously effective atrial or ventricular septal defect or Einkammerherzen to surgery.

Here, a not yet expanded balloon catheter through the right atrium and the foramen ovale into the left atrium is pushed. The balloon is then filled with a physiological saline solution, which prevents both compressing the retraction as well as a complication of a catheter embolic defect. The filled balloon is then abruptly withdrawn through the foramen ovale, atrial septum so that the tear and has a permanent septal defect arises.

Source

  • Mewis, Riessen, Spyridopoulos (eds): Cardiology compact. 2 edition. Thieme, Stuttgart, New York 2006, ISBN 3-13-130742-0, p 492
  • Pediatric
  • Therapeutic procedures in cardiology
  • Therapeutic procedures in paediatrics
  • Invasive therapeutic procedures
Cardiac catheterization Foramen ovale (heart)
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