<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402025000300009</article-id>
<article-id pub-id-type="doi">10.24875/acm.24000128</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Double "dynamic" balloon atrial septostomy. New modification of Dr. Rashkind's technique for cases with thickened interatrial septum]]></article-title>
<article-title xml:lang="es"><![CDATA[Septostomía atrial con doble balón "dinámico". Nueva modificación de la técnica del Dr. Rashkind para casos con septum interatrial engrosado]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colín-Ortiz]]></surname>
<given-names><![CDATA[José L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva-Quijano]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva-Estrada]]></surname>
<given-names><![CDATA[Jorge Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado-Alonso]]></surname>
<given-names><![CDATA[Roberto I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Munive-Molina]]></surname>
<given-names><![CDATA[Ever]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Pérez]]></surname>
<given-names><![CDATA[Linda F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamudio-Meneses]]></surname>
<given-names><![CDATA[Rigoberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corona-Villalobos]]></surname>
<given-names><![CDATA[Carlos A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera-González]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tepatzi-Carranco]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-González]]></surname>
<given-names><![CDATA[Sylvia K.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido-García]]></surname>
<given-names><![CDATA[Luis Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bobadilla-Aguirre]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Terrazas]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Pediatría Department of Pediatric Cardiology ]]></institution>
<addr-line><![CDATA[México City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital del Niño Poblano Department of Pediatric Cardiology ]]></institution>
<addr-line><![CDATA[México City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil de Tlaxcala Department of Neonatology ]]></institution>
<addr-line><![CDATA[Tlaxcala ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>95</volume>
<numero>3</numero>
<fpage>206</fpage>
<lpage>214</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402025000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402025000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402025000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Balloon atrial septostomy (BAS) is a palliative procedure mainly for newborns with transposition of the great arteries, currently, this procedure has a class IA recommendation. However, in some cases, this procedure does not achieve an adequate interatrial defect, due mainly to a thickened interatrial septum, this situation led to the development of various techniques to tackle this problem. Therefore, we made a modification to the original technique using two balloons simultaneously instead of one. The objective of this study is to analyze the results of this new modification to the traditional technique (with one balloon) as an alternative for cases with thickened interatrial septum.  Methods: A retrospective and descriptive study from May 2010 to December 2022 was conducted in three pediatric centers.  Results: Six patients were identified (median age 35 days, median weight 3.4 kg, median size of atrial septal defect before procedure 2.6 mm). All patients underwent to this modification of the BAS with good results and without complications. The modification has some advantages: including to avoid the using of cutting devices or stent placement. In addition, we share the description of this new technique, titled: double "dynamic" BAS.  Conclusion: This brief evidence shown that this modification of de original technique is easy, safe, and cost-effective for cases with a thickened interatrial septum.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La septostomía auricular con balón (SAB) es un procedimiento paliativo principalmente para recién nacidos con transposición de las grandes arterias, actualmente, este procedimiento tiene una recomendación clase IA. Sin embargo, en algunos casos, este procedimiento no logra un defecto interauricular adecuado, debido principalmente a un septum interauricular engrosado, esta situación llevó al desarrollo de diversas técnicas para abordar este problema. Por ello, realizamos una modificación de la técnica original utilizando dos balones simultáneamente en lugar de uno. El objetivo de este estudio es analizar los resultados de esta nueva modificación de la técnica tradicional (con un balón) como alternativa para los casos con septum interauricular engrosado.  Métodos: Se realizó un estudio retrospectivo y descriptivo desde mayo de 2010 hasta diciembre de 2022 en tres centros hospitalarios pediátricos.  Resultados: Se identificaron seis pacientes (mediana de edad 35 días, mediana de peso 3,4 kg, mediana de tamaño de la comunicación interauricular antes del procedimiento 2,6 mm). Todos los pacientes se sometieron a esta modificación del SAB con buenos resultados y sin complicaciones. La modificación presenta varias ventajas, así mismo evitar el uso de dispositivos de corte o la colocación de stent. Además, compartimos la descripción de esta nueva modificación a la técnica, titulada: septostomía atrial con doble balón "dinámico".  Conclusiones: Esta breve evidencia demuestra que esta modificación de la técnica original es; fácil, segura y económica para los casos con septum interatrial engrosado.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Balloon atrial septostomy]]></kwd>
<kwd lng="en"><![CDATA[Transposition of great arteries]]></kwd>
<kwd lng="en"><![CDATA[Thickened interatrial septum]]></kwd>
<kwd lng="en"><![CDATA[Atrial septal defect]]></kwd>
<kwd lng="es"><![CDATA[Septostomía atrial con balón]]></kwd>
<kwd lng="es"><![CDATA[Transposición de las grandes arterias]]></kwd>
<kwd lng="es"><![CDATA[Septum interatrial engrosado]]></kwd>
<kwd lng="es"><![CDATA[Defecto septal interatrial]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
