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Ann Thorac Surg 1991;52:294-295
© 1991 The Society of Thoracic Surgeons

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Articles

Neonatal pneumonectomy for isolated unilateral pulmonary artery agenesis

Division of Cardiothoracic Surgery, Department of Surgery, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA

Accepted for publication December 31, 1990.

^_* Address reprint requests to Dr Canver, Department of Surgery, State University of New York at Buffalo, 462 Grider St, Buffalo, NY 14215.

A 23-day-old female newborn was evaluated for acyanotic respiratory distress immediately after birth. Echocardiogram and cardiac catheterization revealed absence of the right pulmonary artery. Subsequent course was complicated by necrotizing bronchopneumonia. Despite antibiotic therapy and ventilator support she failed to improve; right pneumonectomy was performed to remove the source of sepsis. This case represents an example in which an infectious complication in a rare congenital pulmonary malformation served as an indication for neonatal pneumonectomy.

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