Optimal Surgical Management Using a Classic Blalock-Taussig Shunt for an Infected Pseudoaneurysm After a Modified Blalock-Taussig Shunt Procedure.
We present 2 cases of a 3-month-old girl and boy who were diagnosed with an infected pseudoaneurysm 2 months after undergoing left-sided modified Blalock-Taussig shunt (mBTS) operations for pulmonary atresia. Because the shunts in both cases were nearly obstructed, they underwent a 2-stage surgical approach: classic BTS operations through a right thoracotomy to establish sufficient pulmonary flow and infected graft removal through a median sternotomy after close observation of the state of the aneurysms. By utilizing autologous tissue from a different thoracic entry, both patients were successfully managed and recovered without any recurrence of infection.
Department of Cardiovascular Surgery, Aichi Children's Health and Medical Center, Aichi, Japan. Electronic address: cvsoka@gmail.com.
Noritaka
N
Okada
Department of Cardiovascular Surgery, Aichi Children's Health and Medical Center, Aichi, Japan.
Hiroomi
H
Murayama
Department of Cardiovascular Surgery, Aichi Children's Health and Medical Center, Aichi, Japan.
Hiroki
H
Hasegawa
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000517:prevention & control; D000800:Angioplasty, Balloon; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D058366:Blalock-Taussig Procedure; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D018450:Disease Progression; D004946:Esophagostomy; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D021621:Imaging, Three-Dimensional; D007223:Infant; D008297:Male; D016106:Methicillin Resistance; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D018633:Pulmonary Atresia / Q000601:surgery; D016868:Serratia Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D013212:Staphylococcus epidermidis / Q000187:drug effects / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000601:surgery
D000900:Anti-Bacterial Agents