Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-26T23:54:56.522Z Has data issue: false hasContentIssue false
  • English
  • Français

Percutaneous rescue therapy in a child with blocked cavo-pulmonary shunt

Part of: Functionally Univentricular Heart Interventional Cardiology

Published online by Cambridge University Press:  25 November 2019

Aritra Mukherji Open the ORCID record for Aritra Mukherji [Opens in a new window] ,
Sanjiban Ghosh  and
Amitabha Chattopadhyay
Aritra Mukherji*
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
Sanjiban Ghosh
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
Amitabha Chattopadhyay
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
*
Author for correspondence: Dr Aritra Mukherji, Consultant, Department of Paediatric Cardiology, Narayana Superspeciality Hospital, 31A Creek Row (Nil Ratan Sarkar Sarani), 1st Floor, Kolkata 700014, West Bengal, India. Tel: +919830496000, +919962043006; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A 7-month-old infant presented with bilateral blocked cavo-pulmonary anastomosis within 2 months of surgery. Due to extreme haemodynamic instability, surgical options were abandoned and rescue intervention from left jugular line was planned. Acute thrombosis of the left-sided Glenn was noted with significant anastomotic narrowing. Successful rescue thrombolysis was done using recombinant tissue plasminogen activator (Alteplase) along with balloon dilatation of the attenuated segments.

Keywords

Cavo-pulmonary anastomosisthrombosisAlteplase
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 1 , January 2020 , pp. 139 - 141
Copyright
© Cambridge University Press 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bridges, ND, Jonas, RA, Mayer, JE, Flanagan, MF, Keane, JF, Castaneda, ARBidirectional cavo-pulmonary anastomosis as interim palliation for high-risk Fontan candidates. Early results. Circulation. 1990; 82(5 Suppl): IV170–IV176Google Scholar
Agarwal, A, Firdousse, M, Brar, N, Yang, A, Lambiris, P, Chan, AK, Mondal, TK.Incidence and management of thrombotic and thromboembolic complications following the superior cavo-pulmonary anastomosis procedure: a literature review. Clin Appl Thromb Hemost. 2018; 24: 405–415CrossRefGoogle Scholar
Manlhiot, C, Brandao, LR, Kwok, J, et al. Thrombotic complications and thromboprophylaxis across all three stages of single ventricle heart palliation. J Pediatr. 2012; 161: 513–519.CrossRefGoogle ScholarPubMed
Ando, Y, Fukae, K, Hirayama, K, Oe, M, Iwai, T.Impact of bilateral superior venae cavae on outcome of staged Fontan procedure. Ann Thorac Surg. 2014; 98: 2187–2193CrossRefGoogle ScholarPubMed
Monagle, P, Chan, AKC, Goldenberg, NA, et al. Antithrombotic therapy in neonates and children: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012; 141(2 Suppl): e737S–e801SCrossRefGoogle ScholarPubMed
Tarango, C, Manco-Johnson, MJ.Pediatric thrombolysis: a practical approach. Front Pediatr. 2017; 5: 260.CrossRefGoogle ScholarPubMed
Wang, M, Hays, T., Balasa, V, et al. Pediatric Coagulation Consortium. Low-dose tissue plasminogen activator thrombolysis in children. J Pediatr Hematol Oncol. 2003; 25(5): 379–386CrossRefGoogle ScholarPubMed
Nomura, K, Kurosawa, H, Morita, K, Tanaka, K, Shimizu, S.Pulmonary thromboembolism after one and a half ventricle repair. Successful catheter-directed thrombolysis. Jpn J Thorac Cardiovasc Surg. 2001; 49: 138–140.CrossRefGoogle Scholar
Ryerson, L, Seaman, C, Holinski, P, Bauman, M, Massicotte, P.Successful Lysis of thrombus with tissue plasminogen activator in a bidirectional Glenn on venoarterial extracorporeal life support. Insights Pediatr Cardiol 2016; 1: 1–5Google Scholar