False aneurysm origination from the proximal @entity254 of a right ventricular to pulmonary artery shunt following staged repair of XXXX .

@entity1 @entity5134 @entity548 @entity5 @entity1699 @entity254 @entity281 @entity439 @entity972 @entity1167
The Norwood I operation, including placement of a shunt from the right ventricle to the pulmonary arteries, has been adopted by many surgeons for neonates with @entity1699 . A three-year-old male who had undergone the Norwood I operation, and the Glenn operation, presented with a cervical @entity5 prior to the operation for total cavopulmonary connection. At the Glenn operation, the right ventricle to the pulmonary artery shunt was closed with a clip proximally, and the distal part was resected. Following the Glenn operation, the @entity1 had had recurrent @entity281 caused by @entity5134 . Cardiac catheterization showed a false @entity439 from the proximal shunt @entity254 . The @entity548 after resternotomy was managed by initiating cardiopulmonary bypass via the groin vessels. Cerebral air embolies were prevented by systemic application of @entity972 , to achieve @entity1167 during chest opening. The shunt was removed and the defect was closed. After the shunt was confirmed to be free from infection, a total cavopulmonary connection was performed after three days postoperatively. The case illustrates the management of @entity439 during resternotomy in @entity1 .
