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False aneurysm following modified Blalock-Taussig shunt
U Parvathy1, K R Balakrishnan, M S Ranjith
1Department of Cardiothoracic Surgery, Sri Ramachandra Medical College University Hospital, Porur, Chennai-600116, India.
Pediatric Cardiology
|March 13, 2002
Summary
A child experienced severe bleeding after a heart surgery shunt. Doctors found a false aneurysm in the subclavian artery, successfully treating it with surgery.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Vascular Surgery
Background:
- Double outlet right ventricle and pulmonary stenosis are complex congenital heart defects.
- The modified Blalock-Taussig (BT) shunt is a palliative surgical procedure used in such cases.
Observation:
- A 3.5-year-old female presented with massive hemoptysis (coughing up blood).
- Symptoms occurred 5 months post-modified Blalock-Taussig (BT) shunt surgery.
- Imaging revealed a false aneurysm at the subclavian artery shunt insertion site.
Findings:
- The massive hemoptysis was directly linked to a false aneurysm formation.
- The subclavian artery false aneurysm was a complication of the BT shunt.
Implications:
- Highlights the potential for delayed vascular complications after palliative cardiac surgery.
- Emphasizes the importance of vigilant post-operative monitoring for shunt-related aneurysms.
- Successful surgical management of this rare complication is demonstrated.