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Updated: Jul 15, 2026

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

[Fibrinolytic treatment. First results during the early postoperative period]

V Batchvarova, E Daskalov, A Morosova

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |December 1, 1979
    PubMed

    Insights

    Fibrinolytic treatment with streptokinase successfully dissolved thrombi in Blalock-Taussig anastomoses in children with Fallot

    Area of Science:

    • Cardiology
    • Pediatric Surgery
    • Hematology

    Background:

    • Palliative shunt procedures for Fallot's disease can lead to thrombosis, particularly in pediatric patients.
    • Early postoperative fibrinolytic treatment carries a risk of hemorrhage.

    Observation:

    • Five children with Fallot's disease experienced thrombosis of their Blalock-Taussig anastomoses.
    • These anastomoses are crucial for maintaining blood flow in palliative cardiac surgery.

    Findings:

    • Successful thrombolysis was achieved using streptokinase in all five pediatric cases.
    • This intervention improved the children's clinical condition.

    Implications:

    • Fibrinolytic therapy should be considered for early thrombosis after anastomosing operations in pediatric cardiac surgery.
    • This treatment may help defer the need for further surgical interventions.

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