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Ann Thorac Surg 2004;78:e67-e68
© 2004 The Society of Thoracic Surgeons


Case report

Pulmonary Artery Dissection and Rupture Associated With Aortopulmonary Window

Emmanuel Le Bret, MDa,*, Jean Marc Lupoglazoff, MD, PhDa, Jean Bachet, MDa, Daniel Carbognani, MDa, Kamel Bouabdallah, MDa, Thierry Folliguet, MDa, François Laborde, MDa

a Department of Cardiac Pathology, Institut Mutualiste Montsouris, Paris, France

Accepted for publication February 6, 2004.

* Address reprint requests to Dr Le Bret, Department of Cardiac Pathology, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, France
emmanuel.lebret{at}imm.fr

A 31-year-old man with uncorrected aortopulmonary window and fixed pulmonary hypertension experienced dissection of the pulmonary artery, rapidly complicated by a fatal spontaneous rupture into the pericardium. In the setting of pulmonary hypertension, the diagnosis of dissection and rupture of the pulmonary artery should be considered in cases of thoracic pain or cardiogenic shock.




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