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Ann Thorac Surg 2001;72:274-276
© 2001 The Society of Thoracic Surgeons

Case report

Contralateral pulmonary artery stenosis after left pneumonectomy

Raja M. Flores, MDa, Sudish Murthy, MD, PhDa, Malcolm M. DeCamp, Jr, MDa a Division of Thoracic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication May 15, 2000.

Address reprint requests to Dr DeCamp, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Desk F25, 9500 Euclid Ave, Cleveland, OH 44195
e-mail: decampm{at}ccf.org

Contralateral pulmonary artery stenosis is a rare complication following pneumonectomy. When extensive intrapericardial dissection is warranted, one must be wary of this potential complication and take measures to avoid it. Postoperatively, a high index of suspicion must be maintained in a patient with a new onset of right-sided heart failure after intrapericardial pneumonectomy. We discuss intraoperative risk factors, postoperative clinical findings, and our strategy for repair.






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