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Rupture of pulmonary aneurysms in association with long-standing Waterston shunts

Published online by Cambridge University Press:  01 July 2011

Dearbhla A. Hull ,
Elliot Shinebourne ,
Leon Gerlis ,
Andrew G. Nicholson  and
Mary N. Sheppard
Dearbhla A. Hull
Affiliation:
Department of Histopathology, Royal Brompton Hospital, London, UK
Elliot Shinebourne
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London, UK
Leon Gerlis
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London, UK
Andrew G. Nicholson
Affiliation:
Department of Histopathology, Royal Brompton Hospital, London, UK
Mary N. Sheppard*
Affiliation:
Department of Histopathology, Royal Brompton Hospital, London, UK
*
Correspondence to: Mary N. Sheppard FRCPath, Departments of Histopathology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK. Tel: 00 44 207351 8424; Fax: 00 44 207351 8293
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Abstract

Anastomosis of the ascending aorta to the right pulmonary artery, the so-called Waterston shunt, was undertaken as a palliative procedure for children with cyanotic congenital heart disease due to obstruction of the pulmonary outflow tract with reduced pulmonary blood flow. We present the clinico-pathological correlations in two patients who underwent construction of Waterston shunts as neonates, and subsequently died of ruptured pulmonary aneurysms in adult life. Rupture should, therefore, be recognized as a late complication of this procedure, and be considered in the long-term follow-up of such patients, especially when the shunted lung is hypertensive.

Keywords

Congenital heart diseasepulmonary arterial aneurysmpulmonary hypertension
Type
Clinico-pathological Correlations
Information
Cardiology in the Young , Volume 11 , Issue 1 , January 2001 , pp. 123 - 127
Copyright
Copyright © Cambridge University Press 2001

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