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Ann Thorac Surg 1997;64:244-247
© 1997 The Society of Thoracic Surgeons

Case Report

Pulmonary Hypertension Caused by Medial Hypertrophy Associated With Aortic Stenosis and Preductal Coarctation

Masaki Aota, MD, Shin-ichi Nomoto, MD, Shigeo Yamaki, MD, Toshihiko Ban, MD

Department of Cardiovascular Surgery, Faculty of Medicine, Kyoto University, Kyoto, Japan

Accepted for publication February 21, 1997.

A 7-month-old female infant with aortic stenosis, preductal coarctation, and pulmonary hypertension underwent operation. Intraoperative lung biopsy revealed marked medial hypertrophy of the pulmonary arterioles. This histopathology is compatible with persistent pulmonary hypertension in the newborn. She is alive about 5 years after the operation, but pulmonary hypertension remains. The pathogenesis is discussed.




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Surgical indication for congenital heart disease with extremely thickened media of small pulmonary arteries
Ann. Thorac. Surg., November 1, 1998; 66(5): 1560 - 1564.
[Abstract] [Full Text] [PDF]


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