Endovascular Repair of Recurrent Para-anastomotic Pseudoaneurysm of Occluded Potts' Shunt
10.4326/jjcvs.44.82
- VernacularTitle:Potts' shunt 閉鎖後の吻合部仮性動脈瘤再発に対して debranching TEVAR を施行した1例
- Author:
Masahiro Ryugo
;
Hiroshi Imagawa
;
Hironori Izutani
;
Takumi Yasugi
;
Yuji Sakashita
- Publication Type:Journal Article
- Keywords:
systemic-pulmonary shunt;
pseudoaneurysm;
TEVAR
- From:Japanese Journal of Cardiovascular Surgery
2015;44(2):82-86
- CountryJapan
- Language:Japanese
-
Abstract:
A 34-year-old female patient, who had undergone several operations relating to pulmonary atresia with ventricular septal defect (PA/VAD), was admitted to our hospital for recurrent massive hemoptysis requiring blood transfusion. She had undergone a Potts' shunt (systemic-pulmonary shunt) at age 3, and undergone intraaortic patch closure for paraanastomotic pseudoaneurysm of occluded Potts' shunt at age 28. Chest CT scan revealed an enhancement of this aneurysm surrounding ground glass like appearance of left lung lobe which indicated pulmonary bleeding. In order to avoid skeltonization of severe adhesion of mediastinal and left thoracic space due to several prior operations, endovascular repair of this pseudoaneurysm with debranching of left subclavian artery was performed. Postoperative course was uneventful and hemoptysis was disappeared. She was discharged at 8 postoperative day.
