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Ann Thorac Surg 1989;47:612-613
© 1989 The Society of Thoracic Surgeons

Articles

Traumatic rupture of the pulmonary artery

Michael P. Collins, MD*, George C. Robinson, MD

Department ot Cardiovascular and Thoracic Surgery, LDS Hospital, and the Division of Cardiothoracic Surgery, University of Utah College of Medicine, Salt Lake City, Utah, USA

Accepted for publication September 30, 1988.

* Address reprint requests to Dr Collins, 324 10th Ave, Suite 205, Salt Lake City, UT 84103.

Traumatic rapture of the main pulmonary artery in a surviving patient is very rare. The case history of a 37-year-old man who sustained blunt chest trauma in a motor vehicle accident is presented. A persistent, bloody right pleural effusion led to the diagnosis of a ruptured right main pulmonary artery, which was surgically repaired using cardiopulmonary bypass. Points of diagnostic interest and therapeutic decision making are discussed.




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