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Ann Thorac Surg 2009;87:312-314. doi:10.1016/j.athoracsur.2008.06.015
© 2009 The Society of Thoracic Surgeons
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Karen C. Redmond
Michael Dusmet
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Case Reports

Coiling of Major Aortopulmonary Collateral Arteries With Agenesis of the Left Pulmonary Artery Prior to Pneumonectomy

Karen C. Redmond, MD, FRCS(CTh)a, Lucy Mansfield, MBBSa, Nyree Griffin, MDb, Michael Mullen, MDc, Michael Dusmet, MDa,*

a Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom
b Department of Radiology, Royal Brompton Hospital, London, United Kingdom
c Department of Cardiology, Royal Brompton Hospital, London, United Kingdom

Accepted for publication June 2, 2008.

* Address correspondence to Dr Dusmet, Consultant Thoracic Surgeon, Royal Brompton Hospital, Sydney St, London, SW3 6NP, United Kingdom (Email: m.dusmet{at}rbht.nhs.uk).

The case of a patient with a left upper lobe lung tumor and unilateral agenesis of the left pulmonary artery with multiple aortopulmonary collaterals is discussed. Preoperative angiographic localization with embolization of the dominant multiple aortopulmonary collaterals allowed pneumonectomy to be performed safely with acceptable blood loss.






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