[Early postoperative dysfunction of a modified Blalock-Taussig shunt: successful therapy with angioplasty and stent implantation in the subclavian artery].
A newborn with pulmonary atresia with ventricular septal defect and transposition of the great arteries was palliated with a modified Blalock-Taussig shunt at 5 days of age. Three days postoperatively arterial oxygen saturations dropped significantly. Thrombosis of the shunt was suspected. Angiography revealed stenosis of the proximal subclavian artery related to the creation of the shunt. The patient was successfully treated with angioplasty and stent implantation into the stenotic subclavian artery. Follow-up angiography 3 months after stent deployment showed a completely patent subclavian artery and unobstructed blood flow across the modified Blalock-Taussig shunt.
Peuster
M
M
Abteilung für Pädiatrische Kardiologie und Pädiatrische Intensivmedizin, Medizinische Hochschule Hannover. Peuster.Matthias@MH-Hannover.de
Fink
C
C
Windhagen-Mahnert
B
B
Paul
T
T
Hausdorf
G
G
D000792:Angiography; D000800:Angioplasty, Balloon; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010166:Palliative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D018633:Pulmonary Atresia / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*