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Bidirectional Glenn procedure for an infected modified Blalock-Taussig shunt.

Abstract
A 1-month-old girl underwent right modified Blalock-Taussig shunt (mBTS) for pulmonary atresia with hypoplastic right ventricle. Five months after palliation, she suffered from sepsis and progressive desaturation following otitis media. Computed tomography and angiography revealed a pseudoaneurysm surrounding the mBTS graft. After stabilization of the infection, we performed pseudoaneurysm resection, shunt-graft removal, and the bidirectional Glenn (BDG) procedure under cardiopulmonary bypass. Her condition improved, and she was discharged on the 17th day after surgery. When parameters for the partial right heart bypass should permit, the BDG procedure can be a beneficial recovery procedure for the cases of infected pseudoaneurysm after mBTS in Fontan candidates.
AuthorsYuki Sasaki, Tsukasa Ozawa, Tomoyuki Katayanagi, Hiroyuki Matsuura, Tsutomu Saji, Katsunori Yoshihara, Nobuya Koyama, Yoshinori Watanabe
JournalGeneral thoracic and cardiovascular surgery (Gen Thorac Cardiovasc Surg) Vol. 60 Issue 6 Pg. 355-8 (Jun 2012) ISSN: 1863-6713 [Electronic] Japan
PMID22566258 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Aneurysm, False (diagnosis, etiology, physiopathology, surgery)
  • Aneurysm, Infected (diagnosis, etiology, physiopathology, surgery)
  • Anti-Bacterial Agents (therapeutic use)
  • Blalock-Taussig Procedure (adverse effects, instrumentation)
  • Blood Vessel Prosthesis (adverse effects)
  • Blood Vessel Prosthesis Implantation (adverse effects, instrumentation)
  • Device Removal
  • Female
  • Fontan Procedure
  • Heart Defects, Congenital (physiopathology, surgery)
  • Humans
  • Infant
  • Prosthesis-Related Infections (diagnosis, etiology, physiopathology, surgery)
  • Reoperation
  • Tomography, X-Ray Computed
  • Treatment Outcome

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