Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of Fallot using the AngioJet rheolytic catheter

The modified Blalock‐Taussig shunt is the palliative treatment of choice for tetralogy of Fallot. Shunt thrombosis is a potential complication, requiring high‐risk reoperation. The use of percutaneous rheolytic devices for thrombus removal in such occluded shunts has not been previously reported. We describe a case in which use of a rheolytic catheter resulted in significant thrombus removal and rapid reversal of cyanosis and dyspnea in a 5‐year‐old patient. The patient remains free of symptoms at 30‐day follow‐up. Cathet Cardiovasc Intervent 2001;53:504–507. © 2001 Wiley‐Liss, Inc.