title: Bidirectional Glenn procedure for an infected modified Blalock-Taussig shunt.
abstract: A 1-month-old girl underwent right modified Blalock-Taussig shunt (mBTS) for pulmonary atresia with hypoplastic right ventricle. Five months after palliation, she suffered from sepsis and progressive desaturation following otitis media. Computed tomography and angiography revealed a pseudoaneurysm surrounding the mBTS graft. After stabilization of the infection, we performed pseudoaneurysm resection, shunt-graft removal, and the bidirectional Glenn (BDG) procedure under cardiopulmonary bypass. Her condition improved, and she was discharged on the 17th day after surgery. When parameters for the partial right heart bypass should permit, the BDG procedure can be a beneficial recovery procedure for the cases of infected pseudoaneurysm after mBTS in Fontan candidates.
authors.affiliation: Department of Cardiovascular Surgery, Toho University Omori Medical Center, Ohmori-nishi 6-11-1, Ohta-ku 143-8541, Tokyo, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Ozawa
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Katayanagi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Matsuura
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saji
authors.forename: Katsunori
authors.initials: K
authors.lastname: Yoshihara
authors.forename: Nobuya
authors.initials: N
authors.lastname: Koyama
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Watanabe
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D058366:Blalock-Taussig Procedure / Q000009:adverse effects* / Q000295:instrumentation; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D005260:Female; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents