Catheter-Directed Recombinant Tissue Plasminogen Activator for Treatment of Aortic Root and Coronary Artery Thrombosis in Single Ventricle Patients: A Case Series

Figures

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  Figure 1. Institutional algorithm for site-directed thrombolysis of medium or large-vessel thromboses.

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  Figure 2. Case 1. AP and lateral projections of case 1 showing selective angiography via a JL 1.0 catheter in the LCA demonstrating a significant filling defect of the LMCA, LAD, and LCx (top row), followed by AP and lateral projections of selective angiography via a JL 1.0 catheter in the LCA demonstrating resolution of thrombus in the LMCA, LAD, and LCx (bottom row). AP, anteroposterior; JL, Judkins left; LAD, left anterior descending coronary artery; LCA, left coronary artery; LCx, left circumflex coronary artery; LMCA, left main coronary artery.

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  Figure 3. Case 4. AP and lateral projections of case 4 showing selective angiography in the native aortic root via a JB 1 catheter demonstrating large thrombus superior to the aortic valve without coronary obstruction (top row), followed by AP and lateral projections of selective angiography in the native aortic root via a JR 2 catheter demonstrating near complete resolution of thrombus (bottom row). AP, anteroposterior; JB, Judkins right coronary bypass; JR, Judkins right coronary.