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Endovascular stent implantation as a primary method of treatment for blocked modified Blalock‒Taussig shunt


1 Department of Pediatric Cardiology, Kingsway Hospital, Nagpur, Maharashtra, India
2 Department of Pediatric Cardiology, Sir Ganga Ram Hospital, New Delhi, India
3 Department of Cardiac Anaesthesia, Sir Ganga Ram Hospital, New Delhi, India
4 Department of Pediatric Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
5 Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Mridul Agarwal
Department of Pediatric Cardiology, Sir Ganga Ram Hospital, Rajender Nagar, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_170_21

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Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 209-211

 

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Modified Blalock‒Taussig shunt is a commonly performed palliative cardiac surgery. Complications like early or late occlusion have been reported in approximately 10% of patients. Thrombosis, stenosis, or kinking are possible mechanisms that lead to shunt obstruction which may be life-threatening and need urgent intervention in form of medical, surgical, or interventional catheterization. Traditionally, these patients are managed in the operating room with shunt revision but with advancing techniques, percutaneous interventions are being increasingly deployed to salvage these patients effectively. We describe our experience of two cases of blocked modified Blalock‒Taussig shunt, which was successfully managed by stenting the shunt.






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1 Department of Pediatric Cardiology, Kingsway Hospital, Nagpur, Maharashtra, India
2 Department of Pediatric Cardiology, Sir Ganga Ram Hospital, New Delhi, India
3 Department of Cardiac Anaesthesia, Sir Ganga Ram Hospital, New Delhi, India
4 Department of Pediatric Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India
5 Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Mridul Agarwal
Department of Pediatric Cardiology, Sir Ganga Ram Hospital, Rajender Nagar, New Delhi - 110 060
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_170_21

Rights and Permissions

Modified Blalock‒Taussig shunt is a commonly performed palliative cardiac surgery. Complications like early or late occlusion have been reported in approximately 10% of patients. Thrombosis, stenosis, or kinking are possible mechanisms that lead to shunt obstruction which may be life-threatening and need urgent intervention in form of medical, surgical, or interventional catheterization. Traditionally, these patients are managed in the operating room with shunt revision but with advancing techniques, percutaneous interventions are being increasingly deployed to salvage these patients effectively. We describe our experience of two cases of blocked modified Blalock‒Taussig shunt, which was successfully managed by stenting the shunt.






[FULL TEXT] [PDF]*


        
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