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

Published online by Cambridge University Press:  25 November 2019

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]

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.

Type
Brief Report
Copyright
© Cambridge University Press 2019

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