Recanalization of occluded modified Blalock Taussig shunt with balloonangioplasty and intraarterial streptokinase

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.