We infused intraarterial streptokinase immediately after balloon angioplasty due to the irregular contour seen in angiograms on the pulmonary side of the modified Blalock-Taussig shunt. Although we had planned to give 24 000 U streptokinase in 30 minutes, we discontinued the infusion after observing complete patency in angiograms after the half dose of streptokinase (12 000 U).
In conclusion, we presented an 11 months old patient with acute modified Blalock-Taussig shunt occlusion, who was successfully treated with balloon angioplasty and intraarterial streptokinase.
Acutely blocked Blalock-Taussig shunt following cardiac catheterization: successful recanalization with intravenous streptokinase.
Balloon angioplasty for Blalock-Taussig shunt failure in the early postoperative period.
Effects of modified and classic Blalock-Taussig shunts on the pulmonary arterial tree.
Trancatheter recanalization and subsequent stent implantation for the treatment of early postoperative thrombosis of modified Blalock-Taussig shunts in two children.
Percutaneous transluminal balloon angioplasty of stenotic standard Blalock-Taussig shunts: Effect on choice of initial palliation in cyanotic congenital heart disease.