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KMID : 0364019960290111270
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 11 p.1270 ~ p.1275
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Surgical Treatment of Main Pulmonary Artery Aneurysm with Patent Ductus Arteriosus -A case report-
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오성철
김대식/이성주/권오우/김창회/채성수
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Abstract
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Pulmonary artery aneurysms are extremely rare conditions usually associated with congenital cardiac defects that cause increased pulmonary blood flow and pulmonary hypertension. The prognosis of pulmonary artery aneurysms in fatal due to
potential
for
rupture of the aneurysm and the underlying severe pulmonary hypertension.
A 40-year old woman was admitted to our hospital with headache following traffic accident. On admission a continuous murmur was heard over the 2nd intercostal space along left sternal border and a calcified cystic mass at left hilar portion was
incidentally discoverd on chest reontgenogram. Cardiac catherization was diagnostic of a left to right shunt at main pulmoanry artery level and pulmonary hypertension. Pulmonary angiogram demonstrated a large aneurysm of main pulmonary artery
extending
into proximal left pulmonary artery. The pulmonary artery aneurysm associated with patent ductus arteriosus was diagnosed definitively and the patient was underwent resection of pulmonary artery aneurysm, closure of PDA and Dacron prosthetic
graft
replacement under cardiopulmonary bypass.
The postoperative course was uneyentful and the patient was discharged without any problem.
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KEYWORD
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