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Percutaneous upsizing of a Blalock–Taussig shunt

Published online by Cambridge University Press:  15 September 2011

Aphrodite Tzifa ,
Eric Rosenthal  and
Shakeel Qureshi
Aphrodite Tzifa*
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's and St Thomas’ Hospital, London, United Kingdom Department of Congenital Heart Disease, Mitera Children's Hospital, Athens, Greece
Eric Rosenthal
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's and St Thomas’ Hospital, London, United Kingdom
Shakeel Qureshi
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's and St Thomas’ Hospital, London, United Kingdom
*
Correspondence to: Dr A. Tzifa, FRCPCH, Department of Congenital Heart Disease, Mitera Children's Hospital, 6 Erythrou Stavrou Str, 151 23, Athens, Greece. Tel: 00302106869899; Fax: 00302106899405; E-mail: Aphrodite.Tzifa@kcl.ac.uk
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Abstract

Percutaneous upsizing of surgically placed Blalock–Taussig shunts is an uncommon practice. We report the case of an 8-month-old infant with single-ventricle physiology, who – due to comorbidities – was deemed unsuitable to proceed with Glenn operation. The 3.5-millimetre Blalock–Taussig shunt was stented successfully with a 5-millimetre pre-mounted stent, resulting in an increase in shunt diameter and oxygen saturation by nearly 30% and 10%, respectively.

Keywords

Blalock–Taussig shuntstent implantationinterventional paediatric catheterisation
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 2 , 02 March 2012 , pp. 219 - 222
Copyright
Copyright © Cambridge University Press 2011

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References

1.Parsons, JM, Ladusans, EJ, Qureshi, SA. Balloon dilation of a stenosed modified (polytetrafluoroethylene) Blalock–Taussig shunt. Br Heart J 1989; 62: 228–229.CrossRefGoogle ScholarPubMed
2.Zahn, EM, Chang, AC, Aldousany, A, Burke, RP. Emergent stent placement for acute Blalock–Taussig shunt obstruction after stage 1 Norwood surgery. Cathet Cardiovasc Diagn 1997; 42: 191–194.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
3.Gillespie, MJ, Rome, JJ. Transcatheter treatment for systemic-to-pulmonary artery shunt obstruction in infants and children. Catheter Cardiovasc Interv 2008; 71: 928–935.CrossRefGoogle ScholarPubMed
4.Bader, R, Somerville, J, Redington, A. Use of self expanding stents in stenotic aortopulmonary shunts in adults with complex cyanotic heart disease. Heart 1999; 82: 27–29.CrossRefGoogle ScholarPubMed
5.Brown, SC, Boshoff, DE, Heying, R, et al. Stent expansion of stretch Gore-Tex grafts in children with congenital heart lesions. Catheter Cardiovasc Interv 2010; 75: 843–848.CrossRefGoogle ScholarPubMed
6.Gold, JP, Violaris, K, Engle, MA, et al. A five-year clinical experience with 112 Blalock–Taussig shunts. J Card Surg 1993; 8: 9–17.CrossRefGoogle ScholarPubMed
7.Karpawich, PP, Bush, CP, Antillon, JR, et al. Modified Blalock–Taussig shunt in infants and young children. Clinical and catheterization assessment. J Thorac Cardiovasc Surg 1985; 89: 275–279.CrossRefGoogle ScholarPubMed
8.Bove, EL, Kohman, L, Sereika, S, et al. The modified Blalock–Taussig shunt: analysis of adequacy and duration of palliation. Circulation 1987; 76 3 Pt 2: III19–III23.Google ScholarPubMed
9.Tsai, KT, Chang, CH, Lin, PJ. Modified Blalock–Taussig shunt: statistical analysis of potential factors influencing shunt outcome. J Cardiovasc Surg (Torino) 1996; 37: 149–152.Google Scholar
10.Zamir, M. Coronary flow reserve. In: Zamir M (ed.). The Physics of Coronary Blood Flow. Springer, New York, 2005, pp. 27–30.Google Scholar