[A successful repair of anomalous origin of right pulmonary artery from ascending aorta complicated with subdural hematoma, MRSA infection and postoperative intestinal perforation].
A 2-month-old male infant with anomalous origin of right pulmonary artery from ascending aorta who had subdural hematoma and MRSA infection due to the hemodynamic deterioration after cardiac catheterization was reported. The cardiac anomaly was successfully corrected by bypass grafting between the right pulmonary artery and the pulmonary trunk with an expanded polytetrafluoroethylene tube. This procedure without cardiopulmonary bypass was selected because of the presence of subdural hematoma and poor general conditions, and no signs of mediastinitis were noticed postoperatively in spite of the use of artificial material. But he had colostomy and drainage due to postoperative intestinal perforation. The complicated postoperative course of this patient recommends us the surgical correction of this anomaly without cardiac catheterization.
Tayama
M
M
Department of Cardiac Surgery, Osaka Children's Medical Center, Japan.
Miyamoto
K
K
Kuroda
O
O
Nakagawa
T
T
Sugimoto
H
H
D001011:Aorta / Q000002:abnormalities* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006328:Cardiac Catheterization / Q000009:adverse effects; D003125:Colostomy; D004322:Drainage; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D016106:Methicillin Resistance; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D013203:Staphylococcal Infections / Q000209:etiology*
D011138:Polytetrafluoroethylene