Pulmonary atresia treatment

Pulmonary atresia is a very rare birth defect of the pulmonary valve. Sometimes the pulmonary valve is missing completely; other times the valve is blocked. Normally, the pulmonary valve acts like a door that allows blood to flow from the right ventricle through the pulmonary artery to the lungs to pick up oxygen.

 

Initial treatment of pulmonary atresia focuses on keeping the ductus arteriosus open with a medication called prostaglandins. The ductus arteriosus, a connection between the pulmonary artery and aorta, normally closes soon after birth. Keeping it open allows blood to keep blood flowing to the lungs. If the baby does not have a ventricular septal defect (VSD)or an atrial septal defect (ASD), an emergency balloon atrial septostomy will be performed. This will allow blood on the right side of the heart to get to the left side of the heart so it can be pumped out to the body.

 

Your child’s pediatric cardiologist may perform a cardiac catheterization. In this procedure, the cardiologist inserts a catheter — a long, thin tube — into a large vein, threads it up to the heart and injects dye to see the heart’s structures. The catherization will allow the cardiologist to evaluate the pulmonary atresia, measure how much blood is reaching the lungs and examine the anatomy of the vessels around the heart.

Surgery will be needed to permanently create a way to get blood flow to the lungs. One option is to surgically reconstruct the right ventricular outflow tract. This can be done by opening a connection from the right ventricle to the pulmonary artery with a valved tube called a conduit, or by patching the right ventricular outflow tract. Another option is a Blalock-Taussig shunt (BT shunt), a small tube used to connect the pulmonary artery and the subclavian artery.

 

A child with pulmonary atresia treatment will need to see a pediatric cardiologist regularly. The child may need future surgeries. This will depend on several factors, including right ventricle size and any other defects present. A full two-ventricle repair can be done if the right ventricle is big enough.

 

Another option is following the single-ventricle pathway with staged surgeries to separate the oxygenated arterial circulation from the deoxygenated venous circulation. Two more surgeries — the Glenn procedureand Fontan procedure— allow blood to flow through the lungs to pick up oxygen so that it can then be distributed throughout the body.

 

Norton Children’s Heart Institute, affiliated with the University of Louisville, is the leading provider of pediatric heart care in Louisville and Southern Indiana.

 

The Society of Thoracic Surgeons has ranked Norton Children’s Heart Institute’s pediatric heart care among the best in the region. With our network of remote diagnostic and treatment services in Kentucky and Southern Indiana, your child can stay close to home for quality care.

 

The board-certified and fellowship-trained specialists at Norton Children’s Heart Institute can identify the best surgical options for your child with pulmonary atresia.

 

Why choose Norton Children’s Heart Institute

No other congenital heart surgery program in Kentucky, Ohio or Southern Indiana is ranked higher by the Society of Thoracic Surgeons than the Norton Children’s Pediatric Cardiothoracic Surgery Program.

  • Norton Children’s Hospital has been a pioneer in pediatric cardiothoracic surgery, performing Kentucky’s first pediatric heart transplant in 1986 and becoming the second site in the United States to perform an infant heart transplant.
  • Our board-certified and fellowship-trained pediatric cardiovascular surgeons are leaders in the field as clinicians and researchers.
  • More than 5,000 children a year visit Norton Children’s Heart Institute, affiliated with the University of Louisville, for advanced heart care.
  • Norton Children’s Heart Institute successfully performs more than 17,500 procedures a year.
  • The Society of Thoracic Surgeons ranked Norton Children’s Heart Institute among the best in the region after studying years of our patients’ outcomes and our ability to handle a range of pediatric heart conditions, including the most severe.
  • Norton Children’s Heart Institute has satellite outpatient centers in Bowling Green, Frankfort, Owensboro and Paducah; 28 tele-echocardiography locations in Kentucky and Southern Indiana; and six fetal echocardiography locations across Kentucky.
  • The American Board of Thoracic Surgery has certified the cardiothoracic surgeons at Norton Children’s Hospital with subspecialty certification in congenital heart surgery.
  • The Jennifer Lawrence Cardiac Intensive Care Unit is under construction to give our patients the most advanced cardiac intensive care unit available.
  • Our multidisciplinary approach to pediatric heart surgery brings together our specialists in cardiothoracic surgery, cardiology, anesthesiology, cardiac critical care and other areas to create a complete care plan tailored for your child.
Heart – 2929

Norton Children’s Heart Institute

Call for an appointment

(502) 629-2929

My child had a seizure. Is it epilepsy?

If your child has a seizure, it can be scary. What caused the seizure? Could your child have epilepsy? While epilepsy is one of the most common neurological disorders in the U.S., having a seizure […]

Read Full Story

Travel tips to help kids stay injury-free during holiday travel

Holiday travel can be filled with a lot of fun memories for kids — road trips with the entire family, visits to their grandma’s and grandpa’s house and more. Before families hit the road this […]

Read Full Story

What your donations to Norton Children’s funded in 2018

The life-changing care provided by Norton Children’s throughout Louisville, Kentucky and Southern Indiana wouldn’t be possible without the generosity of those who contribute to the Children’s Hospital Foundation. Over 30,000 donors gave a total of […]

Read Full Story

Huge jump in RSV cases among Louisville-area children

The increase in cases of respiratory syncytial virus (RSV) bronchiolitis is persisting in the Louisville area, with more than 300 cases diagnosed by Norton Healthcare providers this season. The latest data, from just before the Thanksgiving […]

Read Full Story

New parent or new to town? Meet a pediatrician at a Newbie Night this month

Norton Children’s Medical Associates monthly open houses allow parents to meet staff and see our practice locations. These “Newbie Nights” are perfect for parents who are expecting or new to the area to meet providers […]

Read Full Story

Search our entire site.