Pseudoaneurysm following modified Blalock-Taussig shunt: a rare complication mimicking pulmonary disease.
The authors report a pseudoaneurysm in a 2-year-old boy presenting with fever, increasing cyanosis and right upper lung shadowing on a chest radiograph at six weeks following modified Blalock-Taussig shunt surgery. Echocardiography and a CT scan of the chest revealed a large pseudoaneurysm originating from the right subclavian artery at the proximal insertion of modified Blalock-Taussig shunt. The patient underwent aneurysmal resection, Blalock-Taussig shunt removal, right subclavian artery ligation and the creation of a central shunt between the ascending aorta and main pulmonary artery. Unfortunately, the patient died 3 hours after the operation.
Pongprot
Yupada
Y
Division of Cardiology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Silvilairat
Suchaya
S
Woragidpoonpol
Surin
S
Sittiwangkul
Rekwan
R
Phornphutkul
Charlie
C
D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D013771:Tetralogy of Fallot / Q000601:surgery*