Ten patients with hypoplastic left heart syndrome underwent cardiac catheterization to assess the effectiveness of palliative surgery designed to prepare them for a modified Fontan procedure. The objectives of palliation were to establish unobstructed systemic blood flow, normalize pulmonary blood flow and pressure, and relieve pulmonary venous obstruction. In the first four patients, systemic ...

A case of transcatheter occlusion of a Blalock-Taussig shunt with a detachable silicone filled balloon is described. This 11 year old boy had previously had a repair of tetralogy of Fallot together with ligation of a large Blalock-Taussig shunt. Though there was a good surgical result, the shunt proved to be incompletely closed leaving a significant left to right shunt. As an alternative to a f...

A 6-month-old male Old English Bulldog with Tetralogy of Fallot (ToF) required general anaesthesia for surgical palliative treatment ToF whereby a shunt was placed between the left subclavian artery and pulmonary trunk to increase circulation (modified Blalock-Taussig shunt). Anaesthesia patient presents an anaesthetic challenge given four concurrent cardiac defects as well manoeuvres involved,...