Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of Fallot using the AngioJet rheolytic catheter.
The modified Blalock-Taussig shunt is the palliative treatment of choice for tetralogy of Fallot. Shunt thrombosis is a potential complication, requiring high-risk reoperation. The use of percutaneous rheolytic devices for thrombus removal in such occluded shunts has not been previously reported. We describe a case in which use of a rheolytic catheter resulted in significant thrombus removal and rapid reversal of cyanosis and dyspnea in a 5-year-old patient. The patient remains free of symptoms at 30-day follow-up.
Kokov
L S
LS
Departments of Roentgenovascular Surgery and Heart Surgery, A.V. Vishevski Institute of Surgery, Moscow, Russia.
Korostelev
A N
AN
Grinko
A N
AN
Ilyina
M V
MV
Solopova
G V
GV
Aiazian
E
E
Setum
C M
CM
D000714:Anastomosis, Surgical; D002404:Catheterization / Q000706:statistics & numerical data*; D002669:Child Welfare; D002675:Child, Preschool; D006801:Humans; D008297:Male; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000601:surgery*; D017131:Thrombectomy; D014654:Vascular Patency / Q000502:physiology