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Percutaneous rescue therapy in a child with blocked cavo-pulmonary shunt

Part of: Interventional Cardiology Functionally Univentricular Heart

Published online by Cambridge University Press:  25 November 2019

Aritra Mukherji Open the ORCID record for Aritra Mukherji [Opens in a new window] ,
Sanjiban Ghosh  and
Amitabha Chattopadhyay
Aritra Mukherji*
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
Sanjiban Ghosh
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
Amitabha Chattopadhyay
Affiliation:
Department of Paediatric Cardiology, Narayana Superspeciality Hospital, Howrah, Kolkata, India
*
Author for correspondence: Dr Aritra Mukherji, Consultant, Department of Paediatric Cardiology, Narayana Superspeciality Hospital, 31A Creek Row (Nil Ratan Sarkar Sarani), 1st Floor, Kolkata 700014, West Bengal, India. Tel: +919830496000, +919962043006; E-mail: aritra_mukherji@yahoo.co.in
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Abstract

A 7-month-old infant presented with bilateral blocked cavo-pulmonary anastomosis within 2 months of surgery. Due to extreme haemodynamic instability, surgical options were abandoned and rescue intervention from left jugular line was planned. Acute thrombosis of the left-sided Glenn was noted with significant anastomotic narrowing. Successful rescue thrombolysis was done using recombinant tissue plasminogen activator (Alteplase) along with balloon dilatation of the attenuated segments.

Keywords

Cavo-pulmonary anastomosisthrombosisAlteplase
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 1 , January 2020 , pp. 139 - 141
Copyright
© Cambridge University Press 2019

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