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Ann Thorac Surg 1987;43:323-325
© 1987 The Society of Thoracic Surgeons

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Articles

Peripheral Pulmonary Artery Aneurysm in a Patient with Limited Respiratory Reserve: Controlled Resection Using Cardiopulmonary Bypass

From the Divisions of Thoracic and Cardiovascular Surgery and Cardiology and the Department of Anesthesiology, The University of Texas Medical School, Houston, TX

Accepted for publication March 15, 1986.

^* Address reprint requests to Dr. Walker, 6431 Fannin, MSMB 1.222, Houston, TX 77030

Pulmonary artery aneurysms are rare lesions for which operative management is not frequently undertaken. When operation is indicated, central lesions involving the pulmonary trunk, right main pulmonary artery, or left main pulmonary artery are repaired using cardiopulmonary bypass. Peripheral aneurysms in segmental intrapulmonary arteries have been managed most frequently by lobectomy, but occasionally by aneurysmectomy and pulmonary arterial repair. We used cardiopulmonary bypass for peripheral pulmonary aneurysmectomy in a patient with limited respiratory reserve because he had undergone prior contralateral bilobectomy; this allowed controlled resection while preserving a maximal amount of pulmonary parenchyma.

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