Abstract
Systemic-to-pulmonary shunts are widely used in a staged palliation in numerous cyanotic heart defects and
must be closed during complete repair. In some patients, shunt dissection could be an issue due to adhesion
or wall deterioration, and could lead to uncontrolled bleeding and other complications. In such cases simultaneous
intervention of a surgeon and interventionist optimize strategy and reduces the risk of complications.
This case report presents first successful hybrid procedure in patients with TOF and a long-lasting (more
than 29 years) classic Blelok—Taussig shunt, which wall was totally calcified.
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