Bronchial Migration of a Systemic-Pulmonary Shunt Conduit

Using an expanded polytetrafluoroethylene conduit, a subclavian artery-to-pulmonary artery shunt was created in an infant with tetralogy of Fallot. The postoperative course was complicated by sepsis, shunt occlusion, and pneumonia. Four years later, an obstructive mass was found in the right main br...

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Published inThe Annals of thoracic surgery Vol. 81; no. 5; pp. 1892 - 1893
Main Authors Kaneko, Yukihiro, Kobayashi, Jotaro, Masuzawa, Akihiro, Yoda, Hitoshi, Inage, Akio, Tsuchiya, Keiji
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2006
Elsevier Science
Subjects
Biological and medical sciences
Blood Vessel Prosthesis - adverse effects
Bronchi
Fluoroscopy
Foreign-Body Migration
Humans
Infant
Male
Medical sciences
Pulmonary Artery - surgery
Subclavian Artery - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Tetralogy of Fallot - surgery
21
Treatment
Shunt
Respiratory disease
Surgery
Migration
Lung
Bronchus
Systemic
Thorax
Disseminated
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Summary:Using an expanded polytetrafluoroethylene conduit, a subclavian artery-to-pulmonary artery shunt was created in an infant with tetralogy of Fallot. The postoperative course was complicated by sepsis, shunt occlusion, and pneumonia. Four years later, an obstructive mass was found in the right main bronchus on fluoroscopy and was retrieved on rigid endoscopy, which turned out to be the migrated conduit. This case implies that a vascular conduit anastomosed to a systemic artery can migrate into the airway without bleeding, pseudoaneurysm formation, or host artery occlusion.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2005.04.025