RESUMEN
Plasa oozing through the graft after a modified Blalock-Taussig shunt is a troublesome complication. We encountered a massive leak following a modified Blalock-Taussig shunt in a 2 1/2 year-old-girl which required reexploration. The leak was treated by wrapping the polytetrafluoroethylene shunt with the parietal pleura flap harvested from the adjacent chest wall. The patient had an uneventful recovery. Covering of the polytetrafluoroethylene shunt with parietal pleura appears to stop plasma leak through the graft following a modified Blalock-Taussig shunt.
Asunto(s)
Implantación de Prótesis Vascular , Cardiopatías Congénitas/cirugía , Politetrafluoroetileno , Complicaciones Posoperatorias/cirugía , Falla de Prótesis , Colgajos Quirúrgicos , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Lactante , Derrame Pleural/cirugía , ReoperaciónAsunto(s)
Corazón Auxiliar/efectos adversos , Complicaciones Posoperatorias/diagnóstico , Infecciones por Pseudomonas/diagnóstico , Enfermedades Cutáneas Bacterianas/diagnóstico , Insuficiencia Cardíaca , Trasplante de Corazón , Humanos , Masculino , Persona de Mediana Edad , Terapia de Presión Negativa para Heridas , Complicaciones Posoperatorias/etiología , Pseudomonas/aislamiento & purificación , Infecciones por Pseudomonas/etiología , Infecciones por Pseudomonas/terapia , Enfermedades Cutáneas Bacterianas/etiología , Enfermedades Cutáneas Bacterianas/terapia , Cicatrización de HeridasRESUMEN
We present 3 patients, 2 with recent heart transplants, complicated with invasive pulmonary aspergillosis (IPA), treated successfully with surgical resection. These patients demonstrate the role of surgery in management of IPA, and 2 heart transplant patients are of particular interest as surgical treatment of IPA after solid organ transplantation is seldom reported.