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Stenting of modified and classical Blalock–Taussig shunts – lessons learned from seven consecutive cases

Published online by Cambridge University Press:  17 March 2011

Thomas Krasemann*
Affiliation:
Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, London, United Kingdom
Aphrodite Tzifa
Affiliation:
Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, London, United Kingdom
Eric Rosenthal
Affiliation:
Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, London, United Kingdom
Shakeel A. Qureshi
Affiliation:
Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, London, United Kingdom
*
Correspondence to: T. Krasemann, Department of Paediatric Cardiology, Evelina Children's Hospital, Guy's & St Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom. Tel: 44 207 1884562; Fax: 44 207 1884556; E-mail: [email protected]

Abstract

In neonates and infants with a shunt-dependent pulmonary circulation, stenosis of the shunt needs to be treated aggressively to prevent a fatal outcome. We report the technique and outcome in seven consecutive neonates and infants with Blalock–Taussig shunt stenosis, who were treated with intraluminal stents. Stenting of classical or modified Blalock–Taussig shunts is technically feasible and can be used as a rescue procedure. Neointimal dissection is less likely compared with balloon angioplasty of the shunt alone.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2011

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