Sl. Jan et al., Pseudoaneurysm formation after infected modified Blalock-Taussig shunt: Echocardiographic findings, ECHOCARDIOG, 17(2), 2000, pp. 187-191
Citations number
10
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES
The modified Blalock-Taussig (B-T) shunt is well recognized as a palliative
procedure for cyanotic congenital heart disease in, infants. Pseudoaneurys
m formation after a modified B-T shunt is a rare complication. We present t
he case of a 9-month-old girl with tetralogy of Fallot who had undergone a
modified left B-T shunt at 5 months of age and developed a pseudoaneurysm a
fter art episode of infective endocarditis as detected by echocardiography.
Compression of the left bronchus, displacement of the mediastinum to right
chest, and paralysis of the left hemidiaphragm were found. Magnetic resona
nce images, computed tomography scans, aortograms, and selective angiograms
demonstrated the presence of a large pseudoaneurysm. The compression syndr
ome gradually disappeared after aneurysmectomy.