A 14-year-old female with complex congenital heart disease underwent a left-sided classical Blalock Taussig (BT) shunt 15 days after birth. Ten years after the operation her oxygen saturation had decreased significantly. An angiography revealed a severely stenosed BT shunt. Balloon dilation including implantation of a 6 × 13 mm stent was performed successfully. Immediately after intervention, oxygen saturation rose from 55% to 80 84% in room air. Follow-up at a year and a half later showed the classical BT shunt was still patent.
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References
1.
QureshiSAMartinRPDickinsonDFHunterS. Balloon dilatation of stenosed Blalock-Taussig shunts. Br Heart J1989;61:432–4.
2.
MarksLAMehtaAVMarangiD. Percutaneous transluminal balloon angioplasty of stenotic standard Blalock-Taussig shunts: Effect on choice of initial palliation in cyanotic congenital heart disease. J Am Coll Cardiol1991;18:546–51.
SaltikILGuler-ErogluASariogluABatmazG. Balloon dilatation angioplasty of a stenotic Blalock-Taussig anastomosis. A case report. Turk J Pediatr1996;38:515–9.
5.
FischerDRParkSCNechesWHBeermanLBFrickerFJMathewsRA. Successful dilatation of a stenotic Blalock-Taussig anastomosis by percutaneous transluminal balloon angioplasty. Am J Cardiol1985;55:861–2.
6.
El-SaidHGClappSFaganTEConwellJNihillMR. Stenting of stenosed aortopulmonary collaterals and shunts for palliation of pulmonary atresia/ventricular septal defect. Catheter Cardiovasc Interv2000;49:430–6.
7.
PeusterMFinkCBertramHPaulTHausdorfG. Transcatheter recanalization and subsequent stent implantation for the treatment of early postoperative thrombosis of modified Blalock-Taussig shunts in two children. Cathet Cardiovasc Diagn1998;45:4058.
8.
GalalMOAttasKBaslaimG. Recanalization of an occluded modified Blalock-Taussig shunt by balloon angioplasty within 12 hours of its construction. Cardiol Young2000;10:641–3.
