Abstract
A 12-day-old infant with pulmonary atresia, intact ventricular septum, and pulmonary blood flow through a ductus arteriosus developed complete shunt obstruction within 12 hr of creation of a modified Blalock-Taussig shunt. Low dose recombinant tissue plasminogen activator was administered locally as two 0.03 mg/kg bolus injections and was followed by balloon angioplasty. This resulted in complete recanalization of the shunt without any hemorrhagic complications.
Keywords:
pediatric interventions; thrombosis; total occlusions.
Copyright © 2013 Wiley Periodicals, Inc.
MeSH terms
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Angioplasty, Balloon*
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Blalock-Taussig Procedure / adverse effects*
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Combined Modality Therapy
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Emergencies
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Fibrinolytic Agents / administration & dosage*
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Graft Occlusion, Vascular / diagnosis
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Graft Occlusion, Vascular / etiology
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Graft Occlusion, Vascular / therapy*
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Heart Defects, Congenital / surgery*
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Humans
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Infant
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Male
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Recombinant Proteins / administration & dosage
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Thrombolytic Therapy*
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Thrombosis / diagnosis
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Thrombosis / etiology
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Thrombosis / therapy*
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Time Factors
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Tissue Plasminogen Activator / administration & dosage*
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Treatment Outcome
Substances
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Fibrinolytic Agents
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Recombinant Proteins
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Tissue Plasminogen Activator