Optimal Surgical Management Using a Classic Blalock-Taussig Shunt for an Infected Pseudoaneurysm After a Modified Blalock-Taussig Shunt Procedure.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27106441.
- Also identified by DOI 10.1016/j.athoracsur.2015.07.057.
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Abstract
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.
Medical subject headings
- Aneurysm, False
- Blalock-Taussig Procedure
- Blood Vessel Prosthesis
- Carotid Artery Diseases
- Carotid Artery, Common
- Prosthesis-Related Infections
- Serratia Infections
- Staphylococcal Infections