Stent implantation into a totally occluded Blalock-Taussig shunt: a case report

Stent implantation into a ductus arteriosus or systemic-pulmonary shunt is a relatively new but infrequent approach for palliation. A 22-month-old boy with a modified Blalock-Taussig shunt for tetralogy of Fallot was admitted with severe cyanosis. Echocardiographic examination showed complete occlus...

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Bibliographic Details
Published in:Türk Kardiyoloji Derneği arşivi 2011-03, Vol.39 (2), p.147-149
Main Author: Yildirim, Selman Vefa
Format: Article
Language:eng ; tur
Subjects:
Blalock-Taussig Procedure - adverse effects
Cyanosis - etiology
Cyanosis - therapy
Graft Occlusion, Vascular - complications
Graft Occlusion, Vascular - therapy
Humans
Infant
Male
Oxygen - blood
Stents
Tetralogy of Fallot - therapy
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Summary:Stent implantation into a ductus arteriosus or systemic-pulmonary shunt is a relatively new but infrequent approach for palliation. A 22-month-old boy with a modified Blalock-Taussig shunt for tetralogy of Fallot was admitted with severe cyanosis. Echocardiographic examination showed complete occlusion of the shunt. Initial balloon angioplasty resulted in reocclusion of the shunt by acute thrombosis. Finally, recanalization was achieved by stent implantation. Oxygen saturation of the patient increased from 32% to 92% following stenting. He was discharged on aspirin therapy.
ISSN:1016-5169
1308-4488
DOI:10.5543/tkda.2011.00987