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Pseudoaneurysm Following Modified Blalock-Taussig Shunt : A Rare Complication Mimicking Pulmonary Disease

YUPADA PONGPROT, MD*, SUCHA Y A SILVILAIRA T, MD*, SURIN WORAGIDPOONPOL, MD**, REKWAN SITTIWANGKUL, MD*, CHARLIE PHORNPHUTKUL, MD*

Affiliation : * Division of Cardiology, Department of Pediatrics, ** Division of Cardiovascular-Thoracic Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

Abstract
The authors report a pseudoaneurysm in a 2-year-old boy presenting with fever, increasing cyanosis and right upper lung shadowing on a chest radiograph at six weeks following modified Blalock-Taussig shunt surgery. Echocardiography and a CT scan of the chest revealed a large pseudo aneurysm originating from the right subclavian artery at the proximal insertion of modified Blalock Taussig shunt. The patient underwent aneurysmal resection, Blalock-Taussig shunt removal, right subclavian artery ligation and the creation of a central shunt between the ascending aorta and main pulmonary artery. Unfortunately, the patient died 3 hours after the operation.

Keywords : Pseudoaneurysm, Blalock-Taussig Shunt


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