Successful percutaneous transluminal balloon angioplasty and thrombolysis of a thrombosed bovine mesenteric venous graft after a modified Blalock-Taussig shunt

Barbaros Çil,

Barbaros Çil¹, Ömer Faruk Doğan², Tevfik Karagöz³, Rıza Doğan²

¹Departments of Radiology, Medicine Faculty of Hacettepe University, Ankara
²Departments of Cardiovascular Surgery, Medicine Faculty of Hacettepe University, Ankara
³Departments of Pediatric Cardiology, Medicine Faculty of Hacettepe University, Ankara

For the palliation of a five-month-old male baby who had a duct-dependent cyanotic congenital heart disease, a modified Blalock-Taussig shunt was made using a 4 mm bovine mesenteric venous graft. The shunt occluded on the seventh postoperative day and was surgically revised. However, rethrombosis of the graft was detected six days after the second operation. Percutaneous balloon angioplasty and thrombolysis were performed to shunt material successfully.

Keywords : Acute Blalock-Taussig shunt occlusion; balloon angioplasty; bovine mesenteric venous graft; thrombolysis

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