Radiofrequency (RF) perforation of an atretic pulmonary valve is commonly performed in patients with pulmonary atresia with intact ventricular septum with specifically designed RF wires. In difficult anatomy or low-resource centers, this may instead be successfully performed with a modified coronary guide wire and an electrocautery surgical pencil.
Keywords: Balloon valvuloplasty; Coronary wire; Electrocautery pencil; Pulmonary atresia; Radiofrequency valve perforation.
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