Pseudoaneurysm of the ascending aorta following a central aortopulmonary shunt is a rare and potentially fatal complication. Loss of pulmonary artery continuity is another complication following an aortopulmonary shunt. We report an unusual combination of these two complications following an aortopulmonary shunt performed in a child with tetralogy of Fallot. This was managed successfully along with intracardiac repair of tetralogy of Fallot incorporating only the left pulmonary artery.
ManuelVMiguelGMagalhãesMPNunesMAMoraisHJuniorAF. A right upper lobe mass in the thorax after modified Blalock-Taussig Shunt. World J Pediatr Congenit Heart Surg. 2016;7(4):523–524.
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SundararaghavanSKhalidOSuarezWABoveEL. Single-stage repair of tetralogy of Fallot with pseudoaneurysm: a unique approach. Ann Thorac Surg. 2004;77(6):2183–2184.
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BabuBCaldaroneCA. Management of tetralogy of Fallot with unilateral absence of pulmonary artery: an overview. World J Pediatr Congenit Heart Surg. 2014;5(1):70–79.
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ZhangGCWangZWZhangRFZhuHYYiDH. Surgical repair of patients with tetralogy of Fallot and unilateral absence of pulmonary artery. Ann Thorac Surg. 1997;64(4):1150–1153.
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MistrotJJBernhardWFRosenthalACastanedaA. Tetralogy of Fallot with a single pulmonary artery: operative repair. Ann Thorac Surg. 1977;23(3):249–253.
