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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
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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