Table 1

Characteristics and result of the first nine patients undergoing atrial septostomy at Freeman Hospital

No.SexAgeDiagnosisNYHA classSymptomsMVo2 (%)RAP (mmHg)Cardiac index (l/min/m2)mPAP (mmHg)PVR index (WU.m2)NIH probability of surviving 2 years02 saturation before02 saturation afterSize of largest balloonProcedureSyncope relievedRepeat procedure
NIH probability refers to the likelihood of surviving 2 years from the date of the right heart catheter based on the regression equation from D’Alonzo et al1 using haemodynamic parameters.
MVo2, mixed venous oxygen saturation; NA, not available; NYHA, New York Heart Association; mPAP, mean pulmonary artery pressure, PPH, primary pulmonary hypertension; PVR, pulmonary vascular resistance; RAP, right atrial pressure; SSc, scleroderma.
1F33.5PPHIIIPre-syncopeNA131.566737.20.45948915UneventfulYesAt 15 months hole reopened
2F57.0SScIVSyncope60.2161.345937.20.42939118UneventfulYesNo
3F72.3PPHIVPre-syncopeNA241.515024.60.37958715UneventfulYesAt 4 months hole enlarged to 20 mm
4F68.8PPHIVSyncope67121.765628.40.50977812Thyrotoxic at time of procedureYesNo
5F25.9PPHIIISyncope6551.825124.70.61998512BP dropped for procedure. Transfused 2 unitsYesAt 3 months hole enlarged to 18 mm
6F24.5PPHIIIPre-syncope5581.435334.20.53978418UneventfulYesNo
7F76.3SScIVPre-syncope6171.493720.20.59989318UneventfulYesNo
8F80.2SScIVSyncope6281.825525.80.55959118Transfused pre-procedure. UneventfulYesNo
9F69.2PPHIVSyncope5961.445331.30.56968712UneventfulYesNo