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Recanalization of an occluded modified Blalock-Taussig shunt by balloon angioplasty within 12 hours of its construction

Published online by Cambridge University Press:  19 August 2008

M. O. Galal ,
K. Attas  and
G. Baslaim
M. O. Galal*
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
K. Attas
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
G. Baslaim
Affiliation:
King Faisal Specialist Hospital and RC, Riyady, Saudi Arabia
*
Mohammed Omar Galal, MD, PhD, Cardiovascular DepartmentMBC 16, King Faisal Specialist Hospital and RC, PO Box 335411211 Riyad, Saudi Arabia. Tel: 00966-1-1647272 (ext. 2056); Fax: 00966-1-4427482; E-mail: ogalal@yahoo.com
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Abstract

An infant developed severe desaturation within a few hours of construction of a modified Blalock-Taussig shunt. Echocardiography revealed that the shunt had become occluded, and this was confirmed angiographically. At catheterisation, therefore, we passed a 0.014”percutaneous transluminal coronary angioplasty wire through the occluded shunt into the right pulmonary artery and then dilated the shunt successfully using a 5 mm coronary angioplasty balloon. Six weeks later, the shunt remained patent.

Keywords

Cyanotic congenital heart diseasepalliationSystemic-to-pulmonary shunt
Type
Brief Report
Information
Cardiology in the Young , Volume 10 , Issue 6 , November 2000 , pp. 641 - 643
Copyright
Copyright © Cambridge University Press 2000

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