Although definitive repair of congenital heart disease in the neonatal period is the desired preference, the application of a systemic-to-pulmonary artery shunt continues to play an important role in the palliation of a variety of lesions. However, such shunts are at risk for partial or complete occlusion, either related to intraluminal thrombosis, intimal hyperplasia, or suture line fibrosis.1–5 There has been variable success with percutaneous balloon shunt dilation.6–10 The first case report of successful recanalization of an occluded Blalock-Taussig shunt using an endovascular stent was presented in 1997,11 followed by case reports of 7 additional patients (pediatric, n = 3; adult, n = 4).12–14 This study reviewed our institutional experience with transcatheter stent placement to restore and prolong shunt patency.