• Gen Thorac Cardiovasc Surg · Jun 2012

    Case Reports

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

    • Yuki Sasaki, Tsukasa Ozawa, Tomoyuki Katayanagi, Hiroyuki Matsuura, Tsutomu Saji, Katsunori Yoshihara, Nobuya Koyama, and Yoshinori Watanabe.
    • Department of Cardiovascular Surgery, Toho University Omori Medical Center, Ohmori-nishi 6-11-1, Ohta-ku 143-8541, Tokyo, Japan.
    • Gen Thorac Cardiovasc Surg. 2012 Jun 1; 60 (6): 355-8.

    AbstractA 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.

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