Pseudoaneurysm of subclavian artery 21-years after staged repair of tetralogy of Fallot

Three cases of pseudoaneurysm of subclavian artery in long-term follow-up after staged repair of tetralogy of Fallot are described. The angiographical study revealed that aneurysms were located in the systemic end area of previously ligated modified Blalock–Taussing shunt. Aneurysmectomy with resect...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2002-01, Vol.21 (1), p.114-116
Main Authors: Demyanchuk, V.B., Dykucha, S.E., Dovgan, A.M., Lazorishinets, V.V.
Format: Article
Language:English
Subjects:
Adult
Aneurysm, False - etiology
Aneurysm, False - surgery
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiology. Vascular system
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Fatal Outcome
Heart
Humans
Male
Medical sciences
Modified Blalock–Taussing shunt
Pseudoaneurysm of subclavian artery
Subclavian Artery
Tetralogy of Fallot
Tetralogy of Fallot - surgery
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Summary:Three cases of pseudoaneurysm of subclavian artery in long-term follow-up after staged repair of tetralogy of Fallot are described. The angiographical study revealed that aneurysms were located in the systemic end area of previously ligated modified Blalock–Taussing shunt. Aneurysmectomy with resection of a shunt and segment of subclavian artery was performed. We believe division of a prosthetic shunt should be routinely performed during complete repair of tetralogy to prevent morbidity in the long-term follow-up period.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(01)01039-9