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Hybrid approach for postclassical blalock–Taussig shunt tetralogy
Vishal Agrawal1, Pankaj Garg1, Pooja Vyas2, Joshi Hasit2, Amit Mishra3
1 Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), Civil Hospital Campus, Ahmedabad, Gujarat, India
2 Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), Civil Hospital Campus, Ahmedabad, Gujarat, India
3 Department of Pediatric Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), Civil Hospital Campus, Ahmedabad, Gujarat, India
Correspondence Address:
Amit Mishra
Department of Pediatric Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, (Affiliated to BJ Medical College), New Civil Hospital Campus, Asarwa, Ahmedabad - 380 016, Gujarat
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpcs.jpcs_57_22
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In developing countries, we still come across occasional patients who have undergone classic Blalock–Taussig shunt (CBTS) previously. We present a case of 23-year-old female with tetralogy of Fallot who had undergone CBTS operation at the age of 1 year and is now presented for total correction. Takedown of CBTS during surgery has catastrophic complications during looping and ligation of shunt due to extensive collateralization. We, therefore, took a hybrid approach for the patient. The CBTS was first blocked with the balloon, followed by surgical intracardiac repair, and finally, by device closure of CBTS.
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