Aortic stenosis is a congenital heart defect that causes a fixed left ventricular outflow obstruction with a progressive course. Symptomatology in neonates and young infants resembles congestive heart failure. In addition, the diagnosis of this condition is made by imaging, through echocardiography. On the other hand, treatment can be surgical or interventional under fluoroscopic guidance, depending on the hospital in which it is performed. We describe the case of a minor infant patient who presented severe aortic valve stenosis; however, the fluoroscopy equipment was not available at the time of the emergency to perform the appropriate procedure, therefore, an aortic valvuloplasty was performed under echocardiographic guidance without complications.

In patients operated on for total supracardiac anomalous pulmonary venous connection (TAPVC-SC), not ligating the vertical vein (VV) routinely helps to maintain greater hemodynamic stability in the postoperative period, and in many cases, spontaneous closure will be achieved. However, if the VV remains patent, it leads to a pre-tricuspid shunt with significant pulmonary hyperflow, requiring surgical or percutaneous closure. We present the case of a post-operated patient for non-obstructive TAPVC-SC with patent VV, in whom percutaneous closure was performed using an atrial septal Occluder.

Aortic stenosis is a congenital heart defect that causes a fixed left ventricular outflow obstruction with a progressive course. Symptomatology in neonates and young infants resembles congestive heart failure. In addition, the diagnosis of this condition is made by imaging, through echocardiography. On the other hand, treatment can be surgical or interventional under fluoroscopic guidance, depending on the hospital in which it is performed. We describe the case of a minor infant patient who presented severe aortic valve stenosis; however, the fluoroscopy equipment was not available at the time of the emergency to perform the appropriate procedure, therefore, an aortic valvuloplasty was performed under echocardiographic guidance without complications.

En los pacientes operados de conexión venosa pulmonar anómala total supracardiaca (CVPAT-SC) el no ligar la vena vertical (VV) de manera rutinaria ayuda a mantener una mayor estabilidad hemodinámica en el posoperatorio y en muchos de los casos se logrará un cierre espontáneo. Sin embargo, si permanece patente la VV, condiciona a tener un cortocircuito pretricuspídeo con hiperflujo pulmonar significativo, lo que en la mayoría de los casos requiere el cierre quirúrgico o percutáneo. Se presenta el caso de un paciente posoperado de CVPAT-SC no obstructiva con VV patente, en el que se realizó el cierre vía percutánea utilizando oclusor para defecto del septum interatrial.

Objective. Balloon atrioseptostomy is an emergency procedure in congenital heart diseases requiring an atrial septal defect to increase cardiac output in right-sided obstructive lesions or to improve mixing in patients with transposition of the great arteries. This procedure is currently performed with both fluoroscopy and echocardiography. The main objective is to describe our experience with the use of balloon atrioseptostomy under echocardiographic and fluoroscopic guidance in patients under 3 months. Materials and methods. A descriptive, comparative and retrospective study in patients in whom balloon atrioseptostomy was performed under echocardiographic and fluoroscopic guidance between 2018 and 2023 in a referral hospital in Peru. Results. 36 patients were analyzed, of which 21 were from the fluoroscopy group. and 15 patients from the echocardiography group. More than 2/3 o...

The aortopulmonary window is a rare congenital heart defect, and the aortopulmonary window without other associated defects represents up to 25% of these defects. Surgical closure has been and is the gold standard in many cardiovascular centers. However, percutaneous closure is being performed with different types of occluders, considering the type of defect, size, and edges in order to avoid complications such as valvular or coronary ostial involvement. We present the case of an infant with an aortopulmonary window who underwent percutaneous closure with a muscular ventricular septal defect occluder device without complications and was discharged 48 hours after the procedure.