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Balloon dilation recanalization of completely occluded modified Blalock-Taussig shunt

Published online by Cambridge University Press:  19 August 2008

Omar Galal  and
Shakeel A. Qureshi
Omar Galal*
Affiliation:
From the King Faisal Specialist Hospital and Research Centre, Riyadh
Shakeel A. Qureshi
Affiliation:
From the King Faisal Specialist Hospital and Research Centre, Riyadh
*
Dr. Omar Galal, Consultant Paediatric Cardiologist, Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, PO Box 3354, Riyadh 11211, Saudi Arabia. Tel. 966-1-464-7272; Fax. 966-1-442-7482.
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Summary

A two-month-old boy, with complex pulmonary atresia, became increasingly cyanosed 10 days after a modified 5 mm right Blalock-Taussig shunt. There was no shunt flow on auscultation or Doppler echocardiography. Despite anticoagulation with heparin, the shunt remained occluded. After demonstration of the occluded shunt at angiography, a guide wire was easily passed through the occlusion and into the pulmonary artery. Balloon dilation was then successfully accomplished with a 6 mm diameter angioplasty balloon resulting in a patent shunt. The shunt was still widely patent at cardiac catheterization six months later.

Keywords

Balloon dilationrecanalizationBlalock-Taussig shunt

Information

Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 2 , April 1994 , pp. 178 - 180
Copyright
Copyright © Cambridge University Press 1994

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References

1.Arciniegas, E, Farooki, ZQ, Hakimi, M, Perry, BL, Green, EW. Classic shunting operations for congenital cyanotic heart defects. J Thorac Cardiovasc Surg 1982; 84: 88–96.Google Scholar
2.Stewart, S, Alexson, C, Manning, J, Oakes, D, Eberley, SW. Long-term palliation with the classical Blalock-Taussig shunt. J Thorac Cardiovasc Surg 1988; 96: 117–121.Google Scholar
3.Fischer, DR, Park, SC, Neches, WH, Beerman, LB, Fricker, FJ, Mathews, RA, Zuberbuhler, JR, Wedemeyer, AL. Successful dilatation of a stenotic Blalock-Taussig anastomosis by percutaneous transluminal balloon angioplasty. Am J Cardiol 1985; 55: 861–862.Google Scholar
4.Qureshi, SA, Martin, RP, Dickinson, DF, Hunter, S. Balloon dilatation of stenosed Blalock-Taussig shunts. Br Heart J 1989; 61: 432–434.CrossRefGoogle ScholarPubMed
5.Parsons, JM, Ladusans, EJ, Qureshi, SA. Balloon dilatation of a stenosed modified (polytetrafluoroethylene) Blalock-Taussig shunt. Br Heart J 1989; 62: 228–229.CrossRefGoogle ScholarPubMed
6.Marx, GR, Allen, HD, Ovitt, TW, Hanson, W. Balloon dilatation angioplasty of Blalock-Taussig shunts. Am J Cardiol 1988; 62: 824–827.CrossRefGoogle ScholarPubMed
7.Fernandes, J, Kan, JS. Late outcome after successful balloon dilatation of Blalock-Taussig variant shunt stenosis. Am J Cardiol 1991; 67: 1440–1442.CrossRefGoogle ScholarPubMed
8.Rajani, RM, Dalvi, BV, Kulkarni, HL, Kale, PA. Acutely blocked Blalock-Taussig shunt following cardiac catheterization: successful recanalization with intravenous streptokinase. Am Heart J 1990; 120: 1238–1239.Google Scholar
9.Marks, LA, Mehta, AV, Marangi, D. Percutaneous transluminal balloon angioplasty of stenotic standard Blalock-Taussig shunts: effect on choice of initial palliation in cyanotic congenital heart disease. J Am Coll Cardiol 1991; 18: 546–551.CrossRefGoogle ScholarPubMed
10.Rao, PS, Levy, JM, Chopra, PS. Balloon angioplasty of stenosed Blalock-Taussig anastomosis: role of balloon-on-a-wire in dilating occluded shunts. Am Heart J 1990; 120: 1173–1178.CrossRefGoogle ScholarPubMed