Infected pseudoaneurysm following a modified Blalock-Taussig shunt procedure.
A 3-year-old boy with pulmonary atresia with ventricular septal defect, who had undergone placement of a modified Blalock-Taussig shunt, presented with a 1-week history of high fever. Computed tomography showed a pseudoaneurysm at the anastomosis between the right brachiocephalic artery and the graft. After intravenous antibiotic therapy, the pseudoaneurysm and infected graft were resected through a median sternotomy. This report describes successful management of a potentially fatal complication following placement of a modified Blalock-Taussig shunt.
Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Yosuke
Y
Nakai
Norikazu
N
Nomura
Tomohiko
T
Ukai
Miki
M
Asano
Akira
A
Mishima
D061605:Administration, Intravenous; D017541:Aneurysm, False / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; 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; D002675:Child, Preschool; D003131:Combined Modality Therapy; D020878:Device Removal; D006343:Heart Septal Defects / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents
Aneurysm; Blood vessel prosthesis implantation; Heart septal defects; Prosthesis-related infections; Pulmonary atresia; false; ventricular