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Ann Thorac Surg 1976;21:180-183
© 1976 The Society of Thoracic Surgeons

Articles

Aneurysm of the Main Pulmonary Artery: Long-Term Survival after Aneurysmorrhaphy and Closure of a Ventricular Septal Defect

Raul Garcia-Rinaldi, M.D., Ph.D.*, Jimmy F. Howell, M.D.

From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, TX.

Accepted for publication August 8, 1975.

* Address reprint requests to Dr. Garcia-Rinaldi, Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, TX 77025

Pulmonary artery aneurysm (PAA) usually carries an ominous prognosis due to the associated pulmonary hypertension. Six years ago a patient with a PAA secondary to cystic medial necrosis and pulmonary hypertension due to a ventricular septal defect (VSD) was treated by aneurysmorrhaphy and closure of the VSD. Although the patient had early postoperative cardiac failure, his cardiopulmonary status stabilized, and he has done well without recurrence of his aneurysm or cardiac failure. This report summarizes the patient's clinical course, operative treatment, and long-term follow-up.




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