Abstract
A left modified Blalock-Taussig shunt was performed in a 3-year old child with Fallot's tetralogy. Intraoperative course was uneventful. Persistent hypoxia was noticed in the post-operative period in spite of a clinically functioning shunt. Angiography revealed a functioning shunt with totally blocked left pulmonary artery. A thrombus was removed from the left pulmonary artery which dramatically improved the clinical course of the patient.
Similar content being viewed by others
References
Blalock A, Taussig HB.The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia. JAMA 1945;128:189–202.
Donahoo JS, Gardner TJ, Zahka K.Systemic pulmonary shunts in neonates and infants using micro porous expanded polytetrafluoroethylene—Immediate and late results. Ann Thorac Surg 1980;30:146–50.
Arcinegas E, Farooki ZQ, Hakinin M.Results of two stage surgical treatment of tetralogy of Fallot. J Thorac Cardiovasc Surg 1980;79:876–83.
Matsumoto H, Hasegawa T, Fuse K.A new-vascular prosthesis for a small caliber artery. Surgery 1973;74:519–23.
Gazzaniga AB, Lamberti JJ, Siewers RDet al.Arterial prosthesis of microporous expanded polytetrafluoroethylene for construction of aorto pulmonary artery shunts. J Thorac Cardiovasc Surg 1976;72:357–63.
McKay R, Delavale MR, Ress P.Post-operative angiographic assessment of modified Blalock-Taussig Shunts using expanded polytetrafluoroethylene. Ann Thorac Surg 1980;30:136–45.
Lamberti JS, Campbell C, Replogle RL.The prosthetic (Teflon) central aorto pulmonary shunt for cyanotic infants less than 3 weeks old. Results and long term follow up. Ann Thorac Surg 1979;28:568–77.
Shack RB, Neblett WW, Richie RK.Expanded PTFE as dialysis access grafts. Serial study of histology and fibrinolytic activity. Ann Surg 1977;43:817–21.
Comore JH.The lung, clinical physiology and pulmonary function test, 2nd edition. Year Book Medical Publishers INC. 82.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Golam, K., Patil, R.B., Patwardhan, A.M. et al. An unusual post-operative complication following modified left Blalock-Taussig shunt. Indian J Thorac Cardiovasc Surg 3, 59–61 (1984). https://doi.org/10.1007/BF02664924
Issue Date:
DOI: https://doi.org/10.1007/BF02664924