Abstract

A newborn with hypoplastic left heart underwent a Norwood operation. Obstruction of the Blalock-Thomas-Taussig shunt was treated with a stent. During resuscitation, this was compressed, which contributed to a fatal outcome.

Highlights

  • We describe a baby with a stented Blalock–Thomas–Taussig shunt which was compressed during mechanical resuscitation, which was not successful

  • A Norwood operation was carried out 10 days later at a weight of 3.5 kg, consisting of the aortopulmonary anastomosis, arch augmentation with homograft patch, reconstruction of the pulmonary artery with autologous pericard, and a 4 mm modified Blalock–Thomas–Taussig shunt

  • Echocardiography was suggestive of shunt obstruction, the baby was taken to the catheter laboratory, where angiography showed a stenosis of the distal shunt

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Summary

Brief Report

Cite this article: Krasemann T, Verdijk RM, and Bartelds B (2021) Stent compression during resuscitation of a neonate with complex heart disease: fatal outcome. Received: 2 October 2020 Revised: 14 January 2021 Accepted: 17 January 2021 First published online: 23 February 2021

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