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...

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Veröffentlicht in:	The Annals of thoracic surgery 2016-05, Vol.101 (5), p.1992-1995
Hauptverfasser:	Okada, Noritaka, MD, PhD, Murayama, Hiroomi, MD, Hasegawa, Hiroki, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - surgery Aneurysm, Ruptured - prevention & control Angioplasty, Balloon Anti-Bacterial Agents - therapeutic use Blalock-Taussig Procedure Blood Vessel Prosthesis - adverse effects Blood Vessel Prosthesis Implantation - methods Cardiothoracic Surgery Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - etiology Carotid Artery Diseases - microbiology Carotid Artery Diseases - surgery Carotid Artery, Common - diagnostic imaging Carotid Artery, Common - microbiology Carotid Artery, Common - pathology Carotid Artery, Common - surgery Disease Progression Esophagostomy Female Heart Defects, Congenital - surgery Hemodynamics Humans Imaging, Three-Dimensional Infant Male Methicillin Resistance Prosthesis-Related Infections - diagnostic imaging Prosthesis-Related Infections - drug therapy Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - surgery Pulmonary Atresia - surgery Serratia Infections - drug therapy Serratia Infections - microbiology Serratia Infections - surgery Staphylococcal Infections - drug therapy Staphylococcal Infections - microbiology Staphylococcal Infections - surgery Staphylococcus epidermidis - drug effects Staphylococcus epidermidis - isolation & purification Surgery Tomography, X-Ray Computed Tracheoesophageal Fistula - surgery
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Beschreibung
Zusammenfassung:	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.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2015.07.057