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

General Thoracic and Cardiovascular Surgery
Yuki SasakiYoshinori Watanabe

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.

References

Sep 1, 1987·British Heart Journal·J S CarvalhoW B Knight
Apr 1, 1994·Thorax·J ValliattuH Vyas
Mar 13, 2002·Pediatric Cardiology·U ParvathyJ S N Moorthy
Jun 3, 2004·The Annals of Thoracic Surgery·Sreekanthan SundararaghavanEdward L Bove
Mar 29, 2005·Pediatric Cardiology·V V DimasG C Kung
Aug 14, 2008·Interactive Cardiovascular and Thoracic Surgery·Hironori MatsuhisaTakuro Misaki
Nov 17, 2009·The Journal of Thoracic and Cardiovascular Surgery·Orlando PetrucciPirooz Eghtesady

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Citations

Dec 6, 2017·Asian Cardiovascular & Thoracic Annals·Yuki NakayamaTakamasa Takeuchi

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