Infected pseudoaneurysm following a modified Blalock-Taussig shunt procedure. (May 2014)

• Record Type: Journal Article
• Authors: Nakai, Yosuke; Nomura, Norikazu; Ukai, Tomohiko; Asano, Miki; Mishima, Akira
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 22:Number 4(2014)
• Page Start: 481
• Page End: 483
• Publication Date: 2014-05
• Subjects: Aneurysm -- false -- Blood vessel prosthesis implantation -- Heart septal defects -- ventricular -- Prosthesis-related infections -- Pulmonary atresia; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492313475804
• Languages: English
• ISSNs: 0218-4923

Abstract

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.