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Eur J Cardiothorac Surg 2002;21:114-116
© 2002 Elsevier Science NL

Case report

Pseudoaneurysm of subclavian artery 21-years after staged repair of tetralogy of Fallot

Department of Cardiac Surgery, Institute of Cardiovascular Surgery, 03680 Kyiv, Ukraine

Received 19 July 2001; received in revised form 24 September 2001; accepted 9 October 2001.

* Corresponding author. Tel.: +38-44-277-42-33; fax +38-44-277-41-00
e-mail: v_tall_e{at}hotmail.com

Three cases of pseudoaneurysm of subclavian artery in long-term follow-up after staged repair of tetralogy of Fallot are described. The angiographical study revealed that aneurysms were located in the systemic end area of previously ligated modified Blalock–Taussing shunt. Aneurysmectomy with resection of a shunt and segment of subclavian artery was performed. We believe division of a prosthetic shunt should be routinely performed during complete repair of tetralogy to prevent morbidity in the long-term follow-up period.

Key Words: Tetralogy of Fallot • Modified Blalock–Taussing shunt • Pseudoaneurysm of subclavian artery