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Ann Thorac Surg 1991;51:495-496
© 1991 The Society of Thoracic Surgeons

Articles

False aneurysm formation of the great arteries after arterial switch operation

Hiroshi Kato, MD*, Takeshi Nakada, MD, Seiichiro Ikawa, MD, Takuya Miura, MD, Taihei Koh, MD, Yukinori Tsuchitani, MD

Divisions of Cardiac Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan

Accepted for publication August 22, 1990.

* Address reprint requests to Dr Kato, Division of Cardiac Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka 590-02, Japan.

An infant with simple transposition of the great arteries underwent a two-staged arterial switch operation, after which mediastinal infection occurred. Continuous irrigation with povidone-iodine solution was performed for 10 days. After that, the patient experienced life-threatening hemorrhage three times. At the time of the second hemorrhage, greater omental transfer was performed. On postoperative day 109, false aneurysm was recognized, having developed from both great arteries. Successful repair was performed on postoperative day 110.




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