Emergent stent placement for acute Blalock-Taussig shunt obstruction after stage 1 Norwood surgery

A neonate underwent a stage 1 Norwood surgery for hypoplastic left heart syndrome and subsequently developed profound cyanosis and hemodynamic instability. Catheterization revealed an occluded modified Blalock-Taussig shunt. Angioplasty and stent implantation resulted in immediate angiographic and c...

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Veröffentlicht in:	Catheterization and cardiovascular diagnosis 1997-10, Vol.42 (2), p.191-194
Hauptverfasser:	Zahn, E M, Chang, A C, Aldousany, A, Burke, R P
Format:	Artikel
Sprache:	eng
Schlagworte:	Angiography - instrumentation Angioplasty, Balloon - instrumentation Blood Vessel Prosthesis Brachiocephalic Trunk - diagnostic imaging Brachiocephalic Trunk - surgery Cardiac Catheterization - instrumentation Emergencies Follow-Up Studies Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - therapy Humans Hypoplastic Left Heart Syndrome - diagnostic imaging Hypoplastic Left Heart Syndrome - surgery Infant, Newborn Male Polytetrafluoroethylene Postoperative Complications - diagnostic imaging Postoperative Complications - therapy Pulmonary Artery - diagnostic imaging Pulmonary Artery - surgery Recurrence Reoperation Stents
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Beschreibung
Zusammenfassung:	A neonate underwent a stage 1 Norwood surgery for hypoplastic left heart syndrome and subsequently developed profound cyanosis and hemodynamic instability. Catheterization revealed an occluded modified Blalock-Taussig shunt. Angioplasty and stent implantation resulted in immediate angiographic and clinical improvement, which has persisted at 5-month follow-up. This therapy may provide lifesaving treatment in selected patients.
ISSN:	0098-6569
DOI:	10.1002/(SICI)1097-0304(199710)42:2<191::AID-CCD21>3.0.CO;2-Q