Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-23T11:55:55.570Z Has data issue: false hasContentIssue false

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*
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]

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.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2000

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

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: 12381239.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: 201202.CrossRefGoogle Scholar
3. Parsons, JM, Ladusans, EJ, Qureshi, SA. Balloon dilatation of a stenosed modified (polytetrafluoroethylene) Blalock-Taussig shunt. Br Heart J 1989; 62: 228229.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: 11731178.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: 3134.CrossRefGoogle ScholarPubMed
6. Galal, O, Qureshi, SA. Balloon dilation recanalization of competely occluded modified Blalock-Taussig shunt. Cardiol Young 1994; 4: 178180.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: 515519.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: 405408.3.0.CO;2-A>CrossRefGoogle ScholarPubMed