RESUMEN

Fibrinolytic treatment during the early post-operative period is associated with a real danger of hemorrhage. On the other hand, in palliative shunt procedures in Fallot's disease, especially in small children, the anastomoses may thrombose. In such cases the therapeutic lysis of the thrombus improves the child's condition and may defer further surgery. The authors describe five cases of children with Fallot's disease and thrombosis of Blalock-Taussig anastomoses who were successfully treated by streptokinase. They conclude that fibrinolytic treatment should be considered in early thrombosis following anastomosing operations.

Asunto(s)

Complicaciones Posoperatorias/tratamiento farmacológico , Estreptoquinasa/uso terapéutico , Trombosis/tratamiento farmacológico , Preescolar , Humanos , Lactante , Tetralogía de Fallot/cirugía , Trombosis/etiología