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Ann Thorac Surg 2002;73:1977-1979
© 2002 The Society of Thoracic Surgeons

Case report

Pulmonary thromboendarterectomy in a patient with giant cell arteritis

Stephanie J. Brister, MDa*, Kristine Wilson-Yang, PhDb, Francesca V. Lobo, MDb, Homer Yang, MDb, Richard Skala, MDb

a Department of Surgery, University of Toronto, Toronto Canada
b Department of Anesthesia and Pathology, McMaster University, Hamilton, Ontario, Canada

Accepted for publication December 5, 2001.

* Address reprint requests to Dr Brister, University Health Network, General Division 14EN-214, 200 Elizabeth St, Toronto, Ontario MSG 2C4, Canada
e-mail: stephanie.brister{at}uhn.on.ca

This report describes the case of a young woman presenting with signs and symptoms of chronic thromboembolic pulmonary hypertension who underwent pulmonary thromboendarterectomy (PTE) with concomitant coronary artery bypass. She died in the intensive care unit 1 day postoperatively. At autopsy the patient was found to have giant cell arteritis of the pulmonary arteries and ascending aorta. It is important to differentiate this disease from chronic thromboembolic pulmonary hypertension because its management and that of systemic vasculitis differs considerably.






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Copyright © 2002 by The Society of Thoracic Surgeons.