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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.

Please use this url to cite or link to this publication:
@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},
  keyword      = {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},
  volume       = {65},
  year         = {1998},
}