[Percutaneous transluminal angioplasty using balloon catheter in a Blalock-Taussig pulmonary-systemic fistula].
Percutaneous transluminal balloon angioplasty has been used successfully in the treatment of valvular and vascular stenosis. This article describes our experience with this technique to improve pulmonary blood flow in a patient with a severely stenotic Blalock-Taussig (B-T) systemic-to-right pulmonary artery anastomosis, with improvement in oxygen peripheric saturation from 33 to 78% immediately postdilatation and 69% three months later. Hemoglobin decreased from 20.4 to 18.9 gm/dl and hematocrit from 64% to 58.5%. In conclusion we think that this technique is an alternative instead of cardiac surgery, in these cases the procedure is only palliative.
Ledesma-Velasco
M
M
Departamento de Hemodinámica y Fisiología Pulmonar, Hospital General de Centro Médico La Raza, México, D.F.
Flores-Mendoza
C J
CJ
Acosta-Valdez
J L
JL
Munayer-Calderón
J
J
Salgado-Escobar
J L
JL
Quintero-Rodríguez
L R
LR
Soberanis-Torruco
C N
CN
D000714:Anastomosis, Surgical; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000601:surgery / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010166:Palliative Care; D011183:Postoperative Complications / Q000628:therapy*; D011651:Pulmonary Artery / Q000601:surgery*
Angioplastia transluminal percutánea con catéter de globo en una fístula sistémico-pulmonar de Blalock-Taussig.