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Ann Thorac Surg 2009;87:1621. doi:10.1016/j.athoracsur.2008.05.006
© 2009 The Society of Thoracic Surgeons
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Wojtek Karolak
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Images in Cardiothoracic Surgery

Severe Tracheal Compression Due to a Seroma: A Rare Cause of Respiratory Insufficiency After a Modified Blalock–Taussig Shunt

Jennifer Conway, MD, FRCPCa,*, Wojtek Karolak, MDb, Deborah Thompson, MD, FRCPCc, Andrew E. Warren, MD, FRCPCa, Stacy O'Blenes, MD, FRCSCb

a Division of Pediatric Cardiology, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada
b Division of Pediatric Cardiovascular Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada
c Department of Diagnostic Imaging, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada

* Address correspondence to Dr Conway, IWK Children's Heart Centre, 5850/5980 University Ave, P O Box 9700, Halifax, Nova Scotia, B3K 6R8, Canada (Email: jennifer.conway@iwk.nshealth.ca).

The first 20% of the full text of this article appears below.

Leak of serous fluid through the interstices of a polytetrafluorethylene graft placed as a systemic to pulmonary artery shunt can occasionally result in the formation of a seroma around the prosthesis. We recently encountered a patient in which a shunt seroma caused significant tracheal stenosis resulting in severe respiratory insufficiency.

This 5-month-old baby was diagnosed at birth with an unbalanced atrioventricular septal defect, transposition of the great arteries, and pulmonary stenosis that was complicated by a right-sided congenital diaphragmatic hernia. He underwent surgical repair of the congenital diaphragmatic hernia . . . [Full Text of this Article]






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