Recanalization of an occluded modified Blalock-Taussig shunt by balloon angioplasty within 12 hours of its construction.
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.
Galal
M O
MO
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia. ogalal@yahoo.com
Attas
K
K
Baslaim
G
G
D000714:Anastomosis, Surgical / Q000379:methods; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D003490:Cyanosis / Q000150:complications; D006801:Humans; D007223:Infant; D011184:Postoperative Period; D011651:Pulmonary Artery / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013348:Subclavian Artery / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*