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Successful thrombolysis of an occluded modified Blalock shunt three days after operation

Malm, T K LU ; Holmqvist, C LU ; Olsson, C G ; Johansson, J ; Olsson, A K ; Sandström, S ; Bennhagen, R LU and Jögi, P LU (1998) In Annals of Thoracic Surgery 65(5). p.5-1453
Abstract

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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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anastomosis, Surgical/adverse effects, Angiography, Anticoagulants/therapeutic use, Aorta/surgery, Blood Vessel Prosthesis/adverse effects, Blood Vessel Prosthesis Implantation/adverse effects, Cyanosis/etiology, Graft Occlusion, Vascular/diagnostic imaging, Heparin/therapeutic use, Humans, Infant, Newborn, Male, Plasminogen Activators/therapeutic use, Polytetrafluoroethylene, Pulmonary Artery/diagnostic imaging, Pulmonary Atresia/surgery, Thrombolytic Therapy, Thrombosis/diagnostic imaging, Tissue Plasminogen Activator/therapeutic use, Vascular Patency
in
Annals of Thoracic Surgery
volume
65
issue
5
pages
3 pages
publisher
Elsevier
external identifiers
  • pmid:9594890
  • scopus:0032076618
ISSN
0003-4975
DOI
10.1016/S0003-4975(98)00165-9
language
English
LU publication?
no
id
7b3b1c7a-494d-4efa-ae2e-239e2d624e5e
date added to LUP
2018-12-05 14:57:48
date last changed
2024-01-15 08:55:19
@article{7b3b1c7a-494d-4efa-ae2e-239e2d624e5e,
  abstract     = {{<p>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.</p>}},
  author       = {{Malm, T K and Holmqvist, C and Olsson, C G and Johansson, J and Olsson, A K and Sandström, S and Bennhagen, R and Jögi, P}},
  issn         = {{0003-4975}},
  keywords     = {{Anastomosis, Surgical/adverse effects; Angiography; Anticoagulants/therapeutic use; Aorta/surgery; Blood Vessel Prosthesis/adverse effects; Blood Vessel Prosthesis Implantation/adverse effects; Cyanosis/etiology; Graft Occlusion, Vascular/diagnostic imaging; Heparin/therapeutic use; Humans; Infant, Newborn; Male; Plasminogen Activators/therapeutic use; Polytetrafluoroethylene; Pulmonary Artery/diagnostic imaging; Pulmonary Atresia/surgery; Thrombolytic Therapy; Thrombosis/diagnostic imaging; Tissue Plasminogen Activator/therapeutic use; Vascular Patency}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{5--1453}},
  publisher    = {{Elsevier}},
  series       = {{Annals of Thoracic Surgery}},
  title        = {{Successful thrombolysis of an occluded modified Blalock shunt three days after operation}},
  url          = {{http://dx.doi.org/10.1016/S0003-4975(98)00165-9}},
  doi          = {{10.1016/S0003-4975(98)00165-9}},
  volume       = {{65}},
  year         = {{1998}},
}