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Department of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. gillespie@email.chop.edu
Systemic-to-pulmonary artery shunt occlusion is a life-threatening complication in patients with shunt-dependent pulmonary blood flow. In the current era, the definitive diagnosis of shunt obstruction, and interventions to re-establish shunt patency are performed in the catheterization laboratory, rather than the operating room. This review summarizes the various transcatheter techniques used by the interventionalist to re-establish flow through occluded shunts.
2008 Wiley-Liss, Inc.
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