J Med Assoc Thai 2003; 86 (4):365

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Pseudoaneurysm Following Modified Blalock-Taussig Shunt : A Rare Complication Mimicking Pulmonary Disease
Pongprot Y Mail, Silvilairat S , Woragidpoonpol S , Sittiwangkul R , Phornphutkul C

The authors report a pseudoaneurysm in a 2-year-old boy presenting with fever, increasing
cyanosis and right upper lung shadowing on a chest radiograph at six weeks following modified
Blalock-Taussig shunt surgery. Echocardiography and a CT scan of the chest revealed a large pseudoaneurysm
originating from the right subclavian artery at the proximal insertion of modified BlalockTaussig
shunt. The patient underwent aneurysmal resection, Blalock-Taussig shunt removal, right
subclavian artery ligation and the creation of a central shunt between the ascending aorta and main
pulmonary artery. Unfortunately, the patient died 3 hours after the operation.
Key word : Pseudoaneurysm, Blalock-Taussig Shunt

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