心室中隔欠損を伴う肺動脈閉鎖症に対する体肺動脈短絡 (Aorto-Pulmonary Shunt) 術後6年目に発症した偽性大動脈瘤の1治験例

概要

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A 6-year-old boy with pulmonary atresia and ventricular septal defect was admitted to our institute with hemoptysis and an enlarging mass in the right upper chest. He previously underwent systemic-to-pulmonary shunts in 2 occasions, between aortic arch and right pulmonary artery at the age of 2 months and between left subclavian artery and left pulmonary artery at the age of 3 years. A diagnosis of false aneurysm of the right sided shunt was made and a semiemergent surgical repair was successfully performed with the aid of normothermic cardiopulmonary bypass. Seventy seven days after this procedure, the patient underwent complete correction of the cardiac defect without any difficulty. False aneurysm is a rare complication of systemicto-pulmonary shunt constructed with polytetrafluoroethylene. Since the aneurysm tends to grow rapidly and rupture, surgical treatment is urgently required on an emergency basis.
日本小児外科学会の論文
1991-04-20