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Ann Thorac Surg 1985;39:185-187
© 1985 The Society of Thoracic Surgeons

Articles

Surgical Palliation of Respiratory Insufficiency Secondary to Massive Exuberant Polyostotic Fibrous Dysplasia of the Ribs

R. Michael King, M.D., W. Spencer Payne, M.D.*, Snorri Olafsson, M.D., Krishnan K. Unni, M.B.B.S.

From the Departments of Surgery, Internal Medicine, and Pathology, Mayo Clinic and Mayo Foundation, Rochester, MN

Accepted for publication April 27, 1984.

* Address reprint requests to Dr. Payne, Mayo Clinic, 200 First St SW, Rochester, MN 55905

A middle-aged man with long-standing polyostotic fibrous dysplasia had severe progressive restrictive lung disease with hypoxemia and pulmonary hypertension with heart failure because of exuberant intrathoracic, extraosseous proliferation of dysplastic tissue. Subtotal resection of this benign tissue mass ameliorated the respiratory insufficiency and led to sustained improvement in exercise tolerance, increase in pulmonary reserve, and decrease in signs of heart failure and pulmonary hypertension.






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Copyright © 1985 by The Society of Thoracic Surgeons.