title: Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of Fallot using the AngioJet rheolytic catheter.
abstract: 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.
authors.affiliation: Departments of Roentgenovascular Surgery and Heart Surgery, A.V. Vishevski Institute of Surgery, Moscow, Russia.
authors.forename: L S
authors.initials: LS
authors.lastname: Kokov
authors.forename: A N
authors.initials: AN
authors.lastname: Korostelev
authors.forename: A N
authors.initials: AN
authors.lastname: Grinko
authors.forename: M V
authors.initials: MV
authors.lastname: Ilyina
authors.forename: G V
authors.initials: GV
authors.lastname: Solopova
authors.forename: E
authors.initials: E
authors.lastname: Aiazian
authors.forename: C M
authors.initials: CM
authors.lastname: Setum
mesh_terms: 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