J.Jpn. Surg. Soc.. 82(1): 69-74, 1981
Original article
A CASE OF CONDUIT PROCEDURE FOR TETRALOGY OF FALLOT WITH PULMONARY ATRESIA COMPLICATED BY BACTEREMIA AND DISSEMINATED INTRAVASCULAR COAGULATION
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1) The First Department of Surgery, University of Nagoya School of Medicine Toshio Abe1), Youtaro Iyomasa1), Takeshi Shimizu1), Mitsuya Murase1), Katuo Koike2), Tokiko Nojiri3) |
The patient was sixteen years old male, who had Blalock’s anastomosis in his infancy. The operation was closure of ventricular septal defect by Teflon-patch and correction of discontinuity between the right ventricle and the pulmonary artery by Hancock’s valved conduit.
Two weeks after the operation, the pleural effusion of the right thoracic cavity was proved by a chest X-ray film. On the thirty-second postoperative day, high fever with chills occured, and subsequently developed pulmonary edema, shock and haemorrhagic tendencies with petechiae over the body. Pseudomonas aeruginosa, Flavobacterium and Alcaligenes faecalis were detected by the culture of the pleural effusion. The platelet count decreased to about 10,000/μl. Carbenicillin, tobramycin and minocycline were administered for the infection, and heparin and aprotinin were used for the disseminated intravascular coagulation.
By these treatments for about six months, the patient was discharged without any sequele.
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