Source:http://linkedlifedata.com/resource/pubmed/id/14564983
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2003-10-20
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pubmed:abstractText |
A 3-month-old infant with tetralogy of Fallot presented with progressive severe cyanosis and intractable acidosis about 2 months after a successful modified right-sided Blalock-Taussig shunt. At cardiac catheterization, the suspected shunt malfunction was confirmed. It was due to a bulky, pear-like mass arising from the right subclavian artery and compressing the polytetrafluoroethylene conduit. Any attempt to recanalize the shunt by percutaneous techniques proved unsuccessful. At surgery, a huge dilation of the anterior wall of the right subclavian artery, that sharply bent the prosthetic conduit, was found. Pathologic examination revealed that the compressing mass was pseudo-aneurysmal in nature. Despite a second successful shunt operation with a dramatic clinical improvement, the patient died due to multiorgan failure 72 hours following surgery. Extrinsic compression by a false aneurysm is a rare cause of shunt occlusion that should always be suspected in patients presenting with a rapidly progressive shunt malfunction late after a successful shunt procedure.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1129-471X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
559-61
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:14564983-Acidosis,
pubmed-meshheading:14564983-Aneurysm, False,
pubmed-meshheading:14564983-Cardiac Surgical Procedures,
pubmed-meshheading:14564983-Cyanosis,
pubmed-meshheading:14564983-Fatal Outcome,
pubmed-meshheading:14564983-Humans,
pubmed-meshheading:14564983-Infant,
pubmed-meshheading:14564983-Subclavian Artery,
pubmed-meshheading:14564983-Tetralogy of Fallot
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pubmed:year |
2003
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pubmed:articleTitle |
Late-onset Blalock-Taussig shunt occlusion due to a subclavian artery pseudoaneurysm.
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pubmed:affiliation |
Department of Pediatric Cardiology, Second University of Naples, Naples, Italy. santoropino@tin.it
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pubmed:publicationType |
Journal Article,
Case Reports
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