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Ronald V. Pellegrini
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Ann Thorac Surg 1993;55:1553-1554
© 1993 The Society of Thoracic Surgeons

Articles

Pneumonectomy for unremitting hemoptysis in unilateral absence of pulmonary artery

Seth Bekoe, MD*, Ronald V. Pellegrini, MD, Ross F. DiMarco, MD, Kathleen J. Grant, MD, George F. Woelfel, MD

Department of Surgery, The Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania USA

Accepted for publication July 17, 1992.

* Address reprint requests to Dr Bekoe, Three Rivers Cardiac Institute, 100 Broadway Ave, Carnegie, PA 15106.

Unilateral absence of pulmonary artery is a rare malformation that can present as an isolated lesion or may be associated with other congenital heart defects. Clinical presentation is subtle when the lesion occurs alone, and may include hemoptysis, which results from rupture of abundant bronchial submucosal vessels perfused by enlarged systemic collaterals that supply the affected lung. Pneumonectomy is recommended as definitive treatment in such an adult patient.




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