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Recanalization of an occluded modified Blalock-Taussig shunt by balloon angioplasty within 12 hours of its construction

Published online by Cambridge University Press:  19 August 2008

M. O. Galal ,
K. Attas  and
G. Baslaim
M. O. Galal*
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
K. Attas
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
G. Baslaim
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
*
Mohammed Omar Galal, MD, PhD, Cardiovascular DepartmentMBC 16, King Faisal Specialist Hospital and RC, PO Box 335411211 Riyad, Saudi Arabia. Tel: 00966-1-1647272 (ext. 2056); Fax: 00966-1-4427482; E-mail: [email protected]
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Abstract

An infant developed severe desaturation within a few hours of construction of a modified Blalock-Taussig shunt. Echocardiography revealed that the shunt had become occluded, and this was confirmed angiographically. At catheterisation, therefore, we passed a 0.014”percutaneous transluminal coronary angioplasty wire through the occluded shunt into the right pulmonary artery and then dilated the shunt successfully using a 5 mm coronary angioplasty balloon. Six weeks later, the shunt remained patent.

Keywords

Cyanotic congenital heart diseasepalliationSystemic-to-pulmonary shunt
Type
Brief Report
Information
Cardiology in the Young , Volume 10 , Issue 6 , November 2000 , pp. 641 - 643
Copyright
Copyright © Cambridge University Press 2000

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References

1. Rajani, RM, Dalvi, BV, Kulkarni, HL, Kale, PA. Acutely blocked Blalock-Taussig shunt following catdiac catheterization: successful recanalization with inttavenous streptokinase. Am Heart J 1990; 120: 1238–1239.CrossRefGoogle ScholarPubMed
2. Ries, M, Singer, H, Hofbeck, M. Thrombolysis of a modified Blalock-Taussig shunt with recombinant tissue plasminogen activator in a newborn infant with pulmonary atresia and ventricular septal defect. British Heart J 1994; 72: 201–202.CrossRefGoogle Scholar
3. Parsons, JM, Ladusans, EJ, Qureshi, SA. Balloon dilatation of a stenosed modified (polytetrafluoroethylene) Blalock-Taussig shunt. Br Heart J 1989; 62: 228–229.CrossRefGoogle ScholarPubMed
4. Rao, PS, Levy, JM, Chopra, PS. Balloon angioplasty of stenosed Blalock-Taussig anastomosis: role of balloon-on-a-wire in dilating occluded shunts. Am Heart J 1990; 120: 1173–1178.CrossRefGoogle ScholarPubMed
5. Ormiston, JA, Neutze, JM, Calder, AL, Hak, NS. Percutaneous balloon angioplasty for early postoperative modified Blalock-Taussig shunt failure. Cathet Cardiovasc Diagn 1993; 29: 31–34.CrossRefGoogle ScholarPubMed
6. Galal, O, Qureshi, SA. Balloon dilation recanalization of competely occluded modified Blalock-Taussig shunt. Cardiol Young 1994; 4: 178–180.CrossRefGoogle Scholar
7. Saltik, IL, Guler-Eroglu, A, Sarioglu, A, Batmaz, G. Balloon dilatation angioplasty of a stenotic Blalock-Taussig anastomosis. A case report. Turkish J Pediatrics 1996; 38: 515–519.Google ScholarPubMed
8. Peuster, M, Fink, C, Bertram, H, Paul, T, Hausdorf, G. Transcatheter recanalization and subsequent stent implantation for the treatment of early postoperative thrombosis of modified Blalock-Taussig shunts in two children. Cathet Cardiovasc Diagn 1998; 45: 405–408.3.0.CO;2-A>CrossRefGoogle ScholarPubMed