{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:24Z","timestamp":1753876284295,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect. Although most infants nowadays undergo surgical repair approximately at the age of 6\u2009months with excellent outcomes, older patients typically underwent a staged approach with an initial systemic-to-pulmonary Blalock\u2013Taussig\u2013Thomas (BTT) shunt reducing hypoxaemia, followed by surgical TOF repair at an older age (with takedown of the BTT shunt). Late complications related to the BTT shunt are rare.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of recurrent haemoptysis late after classic BTT shunt and subsequent surgical TOF repair. Axial imaging indicated a stellate nodule with isotope accumulation in the right upper lung lobe, whereas bronchoscopy showed a rope-like structure in the bronchus to the right upper lung lobe. The patient underwent a lobectomy of the superior right lobe, with identification of what appeared to be the old suture around the BTT shunt. Anatomopathology confirmed diffuse necrotizing inflammation with erosion into the bronchus which eventually caused haemoptysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Management of older patients with congenital heart disease requires a thorough knowledge of the anatomy and surgical history of the patient. Although late complications related to a BTT shunt are rare, a residual shunt, endocarditis, pseudoaneurysm, or chronic inflammation with haemoptysis may occur.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab155","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T10:09:45Z","timestamp":1621246185000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report of recurrent haemoptysis in an older patient with repaired tetralogy of Fallot"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9390-6623","authenticated-orcid":false,"given":"Emma","family":"Vanderschueren","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5850-5413","authenticated-orcid":false,"given":"Werner","family":"Budts","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, Division of Congenital and Structural Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium"},{"name":"Department of Cardiovascular Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0469-8640","authenticated-orcid":false,"given":"Alexander","family":"Van De Bruaene","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, Division of Congenital and Structural Cardiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium"},{"name":"Department of Cardiovascular Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"2021070816564949600_ytab155-B1","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/j.cjca.2017.06.011","article-title":"Pulmonary valve procedures late after repair of tetralogy of Fallot: current perspectives and contemporary approaches to management","volume":"33","author":"Baghra","year":"2017","journal-title":"Can J Cardiol"},{"key":"2021070816564949600_ytab155-B2","first-page":"145","article-title":"The tetralogy of Fallot: diagnosis and indications for operation, the surgical treatment of the tetralogy of Fallot","volume":"21","author":"Taussig","year":"1947","journal-title":"Surgery"},{"key":"2021070816564949600_ytab155-B3","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00000658-195509000-00010","article-title":"Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects","volume":"142","author":"Lillehei","year":"1955","journal-title":"Ann Surg"},{"key":"2021070816564949600_ytab155-B4","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.ccl.2015.07.002","article-title":"Tetralogy of Fallot: general principles of management","volume":"33","author":"Downing","year":"2015","journal-title":"Cardiol Clin"},{"key":"2021070816564949600_ytab155-B5","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1017\/S1047951119003081","article-title":"Setting the stage for increasing diversity in congenital cardiology: let\u2019s celebrate the 75th anniversary of the Blalock-Thomas-Taussig shunt","volume":"30","author":"Hagdorn","year":"2020","journal-title":"Cardiol Young"},{"key":"2021070816564949600_ytab155-B6","doi-asserted-by":"crossref","first-page":"323","DOI":"10.4103\/aca.ACA_80_17","article-title":"The Blalock and Taussig shunt revisited","volume":"20","author":"Kiran","year":"2017","journal-title":"Ann Card Anaesth"},{"key":"2021070816564949600_ytab155-B7","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/S0019-4832(12)60060-1","article-title":"Aneurysmally dilated major aorto-pulmonary collateral in tetralogy of Fallot","volume":"64","author":"Lanjewar","year":"2012","journal-title":"Indian Heart J"},{"key":"2021070816564949600_ytab155-B8","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4103\/0974-2069.149518","article-title":"Spontaneous expectoration of a Blalock-Taussig shunt a decade after operation","volume":"8","author":"Kothari","year":"2015","journal-title":"Ann Pediatr Cardiol"},{"key":"2021070816564949600_ytab155-B9","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1111\/chd.12516","article-title":"Outcomes of Blalock-Taussig shunts in current era: a single center experience","volume":"12","author":"Sasikumar","year":"2017","journal-title":"Congenit Heart Dis"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/5\/ytab155\/38835975\/ytab155.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/5\/ytab155\/38835975\/ytab155.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T00:56:52Z","timestamp":1625792212000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab155\/6276712"}},"subtitle":[],"editor":[{"given":"Anastasia","family":"Egorova","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"A Shaheer","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Luis Antonio","family":"Moreno-Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Daniel","family":"Tardo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,5,1]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab155","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2021,5,1]]},"published":{"date-parts":[[2021,5,1]]},"article-number":"ytab155"}}