Nonsurgical Palliation of Congenital Heart Malformations

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Abstract
From time to time nonsurgical technics have been proposed for the treatment or palliation of certain congenital heart defects. These have included a modified cardiac catheter used to relieve pulmonary and tricuspid-valve stenosis,1 catheter closure of persistent ductus arteriosus,2 and tissue-adhesive closure of aortic-pulmonary communications.3 Although none of these procedures have been widely accepted, the technic of Miller and Rashkind for creating an atrial septal defect by use of a balloon-tipped catheter4 has become established as the initial emergency treatment of patients with transposed great arteries when mixing between the systemic and pulmonary circulations is crucial to survival. The special . . .

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