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Optimal Surgical Management Using a Classic Blalock-Taussig Shunt for an Infected Pseudoaneurysm After a Modified Blalock-Taussig Shunt Procedure  Noritaka.

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Presentation on theme: "Optimal Surgical Management Using a Classic Blalock-Taussig Shunt for an Infected Pseudoaneurysm After a Modified Blalock-Taussig Shunt Procedure  Noritaka."— Presentation transcript:

1 Optimal Surgical Management Using a Classic Blalock-Taussig Shunt for an Infected Pseudoaneurysm After a Modified Blalock-Taussig Shunt Procedure  Noritaka Okada, MD, PhD, Hiroomi Murayama, MD, Hiroki Hasegawa, MD, PhD  The Annals of Thoracic Surgery  Volume 101, Issue 5, Pages (May 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Angiographic image of left-sided modified Blalock-Taussig shunt (mBTS) in case 1 demonstrates pseudoaneurysm formation arising from proximal anastomosis site. Pseudoaneurysm compressed shunt, resulting in extremely diminished blood flow. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A and B) Computed tomography showing growing pseudoaneurysm and right-sided classic Blalock-Taussig shunt (BTS) before removal of infected graft in case 1. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Angiographic image of left-sided modified Blalock-Taussig shunt (mBTS) in case 2 reveals pseudoaneurysm from proximal graft anastomosis, resulting in nearly occluded shunt flow. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A and B) Computed tomography shows rapid dilatation of the pseudoaneurysm, thought to indicate an impending rupture just before removal of infected graft in case 2. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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