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Ann Thorac Surg 1976;21:184-188
© 1976 The Society of Thoracic Surgeons
From the Department of Surgery, University of California, San Francisco, School of Medicine, and the Departments of Surgery and Radiology, Marin General Hospital, San Rafael, CA.
Accepted for publication June 25, 1975.
* Address reprint requests to Dr. Fishman, Department of Surgery, University of California, San Francisco, School of Medicine, San Francisco, CA 94143
A 28-year-old woman had a ruptured solitary pulmonary arterial aneurysm which was successfully treated by pericardial patch graft. The etiology of the aneurysm could not be determined although the patient had had several episodes of blunt chest trauma in the past. Unusual aspects of this case include; location of the aneurysm in the intermediate portion of the left pulmonary artery within the major intralobar fissure, intrapleural rupture, preoperative diagnosis by pulmonary angiography, and an incidentally discovered histopathological abnormality of the aneurysm itself for which no satisfactory explanation has been found.
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