Stenting of BT Shunt

01 May 2018

A 3-month old male child presented to ER with respiratory distress, fever and poor feeding. Child was a known case of Tetrology of Fallot and palliative surgery in form of Right modified Blaclok- Taussig shunt was performed at day 3 of life. At time of presentation Child was hypotensive with HR -200/bpm, RR-80 breath /min, BP-50/30 and his SPO2 was 50 % on room air which improved to 55 % on high flow oxygen therapy. In view of hemodynamic instability and impending respiratory failure child was intubated and started on ventilator support. After giving fluid boluses @ 20 ml/kg, inj nor- adrenaline was started in view persisting hypotensive shock. However, in spite of all above measure child’s blood pressure remained less than 5^th centile for age and his saturation remained below 60%. ECHO done showed absent flow in shunt. Child was taken for emergency Cath and stenting of the B-T shunt was done. Post procedure child hemodynamic improved, His SpO2 improved to 80% , inotropes were tapered and stopped. Child was subsequently extubated after 40 hrs.