https://www.um.edu.mt/library/oar/handle/123456789/27499 2026-04-14T03:35:35Z https://www.um.edu.mt/library/oar/handle/123456789/4064 Title: Late coronary complications after arterial switch operation for transposition of great arteries : clinical and therapeutic implications Authors: Agnoletti, Gabriella; Bajolle, Fanny; Bonnet, D.; Sidi, D.; Vouhé, P. Abstract: The arterial switch operation is the procedure of choice for correction of transposition of the great arteries. Although offering excellent long term results, this procedure is burdened by the risk of acute and subacute coronary occlusion. No guide-lines exist for the management of acute or chronic ischemia in this setting. This article briefly reviews the literature and presents the results. 2005-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/4061 Title: Management of Tetralogy of Fallot with Pulmonary Atresia Authors: Prieto, Lourdes R. Abstract: Tetralogy of Fallot with Pulmonary Atresia is an extreme form of tetralogy characterized by absence of flow from the right ventricle to the pulmonary arteries. Pulmonary blood flow is derived from a variety of sources, including native pulmonary artery branches and aorto-pulmonary collaterals with significant variability from patient to patient. Management must therefore be individualized to each patient's anatomy and physiology. Cardiac catheterization plays a crucial diagnostic and therapeutic role in this group of patients. This article is a concise review of the spectrum of anatomic variability seen in this lesion with an emphasis on diagnostic and therapeutic catheterization . It also highlights our staged surgical approach to this lesion and provides data on long-term outcome after complete intracardiac repair. 2005-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/4056 Title: Acute modified Blalock-Taussing shunt obstruction successfully treated with urokinase and heparin Authors: Mizzi, Joseph; Grech, Victor E. Abstract: Acute modified Blalock-Tuassig shunt obstruction due to thrombosis may be lifethreatening. We report non-invasive relief of shunt obstruction with thrombolysis and heparinisation, a potentially life-saving intervention that is applicable in all settings, including outside tertiary paediatric cardiology centres. 2005-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/4055 Title: A complicated case of renal artery stenosis Authors: Chetcuti-Ganado, C.; Grech, Victor E.; Samuel, Anthony Abstract: This article presents a boy with bilateral renal artery stenosis who presented with severe hypertension and haemorrhagic stroke. The diagnostic workup along with a complication of eventual surgical intervention are demonstrated. 2005-01-01T00:00:00Z