title: Cerebral Thromboembolism From Ligated Blalock-Taussig Shunt in an Adult Patient.
abstract: A 26-year-old woman underwent tetralogy of Fallot repair and classic Blalock-Taussig shunt (BTS) ligation. On postoperative day 4 she developed severe left-sided hemiplegia due to cerebral infarction. Thrombi in the BTS stump, right brachiocephalic artery, and its branches were removed surgically and the BTS stump was resected. The patient gradually recovered from hemiplegia and is leading a normal life with moderate left hemiparesis and is in good functional status 4 years after the event. An aggressive approach in treating this complication was crucial to prevent further thrombosis and neurologic deficit progression in this patient. We recommend reducing the size of the BTS stump during definitive repair.
authors.affiliation: Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine. Electronic address: yaroslav.mykychak@cardio.org.ua.
authors.forename: Yaroslav B
authors.initials: YB
authors.lastname: Mykychak
authors.affiliation: Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Lyubomyr Y
authors.initials: LY
authors.lastname: Bohuta
authors.affiliation: Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Yaroslav Y
authors.initials: YY
authors.lastname: Ivanov
authors.affiliation: Department of Cardiology, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Yulia V
authors.initials: YV
authors.lastname: Pozniak
authors.affiliation: Department of Cardiology, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Valentyna A
authors.initials: VA
authors.lastname: Khanenova
authors.affiliation: Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Oleksandr D
authors.initials: OD
authors.lastname: Babliak
authors.affiliation: Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
authors.forename: Illya M
authors.initials: IM
authors.lastname: Yemets
mesh_terms: D000328:Adult; D058366:Blalock-Taussig Procedure / Q000009:adverse effects* / Q000295:instrumentation*; D002533:Cerebral Angiography; D020878:Device Removal; D005260:Female; D006801:Humans; D020767:Intracranial Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008026:Ligation / Q000009:adverse effects; D011183:Postoperative Complications; D013771:Tetralogy of Fallot / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D017585:Ultrasonography, Doppler, Transcranial