title: Bronchial migration of a systemic-pulmonary shunt conduit.
abstract: Using an expanded polytetrafluoroethylene conduit, a subclavian artery-to-pulmonary artery shunt was created in an infant with tetralogy of Fallot. The postoperative course was complicated by sepsis, shunt occlusion, and pneumonia. Four years later, an obstructive mass was found in the right main bronchus on fluoroscopy and was retrieved on rigid endoscopy, which turned out to be the migrated conduit. This case implies that a vascular conduit anastomosed to a systemic artery can migrate into the airway without bleeding, pseudoaneurysm formation, or host artery occlusion.
authors.affiliation: Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, Tokyo, Japan. yukihirokaneko@hotmail.com
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Jotaro
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Masuzawa
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yoda
authors.forename: Akio
authors.initials: A
authors.lastname: Inage
authors.forename: Keiji
authors.initials: K
authors.lastname: Tsuchiya
mesh_terms: D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D001980:Bronchi; D005471:Fluoroscopy; D005548:Foreign-Body Migration; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery; D013771:Tetralogy of Fallot / Q000601:surgery*