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Ann Thorac Surg 1998;65:1453-1455
© 1998 The Society of Thoracic Surgeons

Case Reports

Successful Thrombolysis of an Occluded Modified Blalock Shunt Three Days After Operation

Torsten K. Malm, MD, PhDa, Catarina Holmqvist, MDb, Carl-Gustav Olsson, MD, PhDc, Jens Johansson, MDa, Ann-Kristin Olsson, MD, PhDd, Staffan Sandström, MDb, Rolf Bennhagen, MDe, Peeter Jögi, MDa

a Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, University Hospital, Lund, Sweden
b Department of Radiology, University Hospital, Lund, Sweden
c Department of Internal Medicine, University Hospital, Lund, Sweden
d Department of Anesthesiology, University Hospital, Lund, Sweden
e Department of Pediatrics, University Hospital, Lund, Sweden

Accepted for publication December 5, 1997.

Address reprint requests to Dr Malm, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, University Hospital, S-221 85 Lund, Sweden

A 10-day-old boy with pulmonary atresia received a right-sided aortopulmonary polytetrafluoroethylene shunt. Three days after the operation he became cyanotic and was reintubated. Shunt occlusion was confirmed with angiography. Recombinant tissue plasminogen activator was given locally into the proximal end of the shunt. The thrombus was completely resolved after 2 days. When administration of recombinant tissue plasminogen activator was stopped, heparin infusion was started for 5 days. Shunt patency was demonstrated by angiography at 3 months postoperatively.




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W. J. Wells, R. J. Yu, A. S. Batra, H. Monforte, C. Sintek, and V. A. Starnes
Obstruction in Modified Blalock Shunts: A Quantitative Analysis With Clinical Correlation
Ann. Thorac. Surg., June 1, 2005; 79(6): 2072 - 2076.
[Abstract] [Full Text] [PDF]


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