An infected pseudoaneurysm following a modified Blalock-Taussig shunt.

Abstract:

:A two-month-old male infant with tetralogy of Fallot underwent a right-sided modified Blalock-Taussig shunt using a 4 mm expanded polytetrafluoroethylene graft through a right thoracotomy. Five months later, the patient developed otitis media, followed by repeated relapses of pneumonia and fever of unknown origin. Multidetector-row computed tomography and angiography, performed at 12 months of age, revealed a pseudoaneurysm of the subclavian artery at the insertion of the modified Blalock-Taussig shunt. After 20 days of antibiotic therapy, the pseudoaneurysm and infected graft were successfully resected through a median sternotomy approach. This report describes the treatment strategy of this rare but potentially fatal complication after a modified Blalock-Taussig shunt operation.

authors

Matsuhisa H,Yoshimura N,Kitahara J,Otaka S,Ichida F,Funada H,Misaki T

doi

10.1510/icvts.2008.184333

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

108-10

issue

1

eissn

1569-9293

issn

1569-9285

pii

icvts.2008.184333

journal_volume

8

pub_type

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