Abstract:
Progressive stenosis and acute thrombosis, months to years after
surgical creation, are the most known complications of the modified
Blalock-Taussig shunt (1, 2). Children who developed acute BlalockTaussig
shunt occlusion usually require some form of intervention which
includes thrombolytic therapy. Tissue plasminogen activator and
streptokinase have been used successfully in some children (3, 4).
Balloon angioplasty, stent implantation and surgery are the other
therapeutic options (5-7).
We report an 11 months old patient with acute modified
Blalock-Taussig shunt occlusion. The patient was treated successfully
with balloon angioplasty and intraarterial streptokinase.
