Endovascular Repair of Recurrent Para-anastomotic Pseudoaneurysm of Occluded Potts’ Shunt

Masahiro Ryugo	Hiroshi Imagawa	Hironori Izutani
Takumi Yasugi and Yuji Sakashita

（Department of Cardiothoracic Surgery, Ehime University Hospital, Matsuyama, Japan）

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.

 

Jpn. J. Cardiovasc. Surg. 44:82-86（2015）

Keywords：systemic-pulmonary shunt;pseudoaneurysm;TEVAR