• Ann. Thorac. Surg. · May 1998

    Case Reports

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

    • T K Malm, C Holmqvist, C G Olsson, J Johansson, A K Olsson, S Sandström, R Bennhagen, and P Jögi.
    • Department of Cardiothoracic Surgery, University Hospital, Lund, Sweden.
    • Ann. Thorac. Surg. 1998 May 1;65(5):1453-5.

    AbstractA 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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