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Pseudoaneurysm Formation After Infected Modified Blalock‐Taussig Shunt: Echocardiography Findings
Author(s) -
JAN SHENGLING,
HWANG BETAU,
FU YUNCHIN,
CHI CHINGSHIANG
Publication year - 2000
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2000.tb01123.x
Subject(s) - medicine , pseudoaneurysm , tetralogy of fallot , shunt (medical) , pulmonary atresia , infective endocarditis , endocarditis , heart disease , magnetic resonance imaging , complication , surgery , radiology , cardiology
The modified Blalock‐Taussig (B‐T) shunt is well recognized as a palliative procedure for cyanotic congenital heart disease in infants. Pseudoaneurysm formation after a modified B‐T shunt is a rare complication. We present the 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 after an 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 resonance images, computed tomography scans, aortograms, and selective angiograms demonstrated the presence of a large pseudoaneurysm. The compression syndrome gradually disappeared after aneurysmectomy.