Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-25T05:41:58.727Z Has data issue: false hasContentIssue false
  • English
  • Français

Balloon dilation recanalization of completely occluded modified Blalock-Taussig shunt

Published online by Cambridge University Press:  19 August 2008

Omar Galal  and
Shakeel A. Qureshi
Omar Galal*
Affiliation:
From the King Faisal Specialist Hospital and Research Centre, Riyadh
Shakeel A. Qureshi
Affiliation:
From the King Faisal Specialist Hospital and Research Centre, Riyadh
*
Dr. Omar Galal, Consultant Paediatric Cardiologist, Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, PO Box 3354, Riyadh 11211, Saudi Arabia. Tel. 966-1-464-7272; Fax. 966-1-442-7482.
Get access Rights & Permissions [Opens in a new window]

Summary

A two-month-old boy, with complex pulmonary atresia, became increasingly cyanosed 10 days after a modified 5 mm right Blalock-Taussig shunt. There was no shunt flow on auscultation or Doppler echocardiography. Despite anticoagulation with heparin, the shunt remained occluded. After demonstration of the occluded shunt at angiography, a guide wire was easily passed through the occlusion and into the pulmonary artery. Balloon dilation was then successfully accomplished with a 6 mm diameter angioplasty balloon resulting in a patent shunt. The shunt was still widely patent at cardiac catheterization six months later.

Keywords

Balloon dilationrecanalizationBlalock-Taussig shunt
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 2 , April 1994 , pp. 178 - 180
Copyright
Copyright © Cambridge University Press 1994

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.Arciniegas, E, Farooki, ZQ, Hakimi, M, Perry, BL, Green, EW. Classic shunting operations for congenital cyanotic heart defects. J Thorac Cardiovasc Surg 1982; 84: 88–96.Google Scholar
2.Stewart, S, Alexson, C, Manning, J, Oakes, D, Eberley, SW. Long-term palliation with the classical Blalock-Taussig shunt. J Thorac Cardiovasc Surg 1988; 96: 117–121.Google Scholar
3.Fischer, DR, Park, SC, Neches, WH, Beerman, LB, Fricker, FJ, Mathews, RA, Zuberbuhler, JR, Wedemeyer, AL. Successful dilatation of a stenotic Blalock-Taussig anastomosis by percutaneous transluminal balloon angioplasty. Am J Cardiol 1985; 55: 861–862.Google Scholar
4.Qureshi, SA, Martin, RP, Dickinson, DF, Hunter, S. Balloon dilatation of stenosed Blalock-Taussig shunts. Br Heart J 1989; 61: 432–434.CrossRefGoogle ScholarPubMed
5.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
6.Marx, GR, Allen, HD, Ovitt, TW, Hanson, W. Balloon dilatation angioplasty of Blalock-Taussig shunts. Am J Cardiol 1988; 62: 824–827.CrossRefGoogle ScholarPubMed
7.Fernandes, J, Kan, JS. Late outcome after successful balloon dilatation of Blalock-Taussig variant shunt stenosis. Am J Cardiol 1991; 67: 1440–1442.CrossRefGoogle ScholarPubMed
8.Rajani, RM, Dalvi, BV, Kulkarni, HL, Kale, PA. Acutely blocked Blalock-Taussig shunt following cardiac catheterization: successful recanalization with intravenous streptokinase. Am Heart J 1990; 120: 1238–1239.Google Scholar
9.Marks, LA, Mehta, AV, Marangi, D. Percutaneous transluminal balloon angioplasty of stenotic standard Blalock-Taussig shunts: effect on choice of initial palliation in cyanotic congenital heart disease. J Am Coll Cardiol 1991; 18: 546–551.CrossRefGoogle ScholarPubMed
10.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