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Ann Thorac Surg 1989;48:432-433
© 1989 The Society of Thoracic Surgeons

Articles

Ductus Diverticulum Aneurysm and Coronary Stenosis: Repair Using Circulatory Arrest

Clinton E. Baisden, MD*, Mark E. Sand, MD, S. Carter Keith, MD, Joseph F. Jackson, MA, Paul E. Mullen, MD, William H. Brown, MD

Departments of Surgery, Medicine, and Radiology, USAF Medical Center Keesler, Keesler Air Force Base, Mississippi

Accepted for publication February 20, 1989.

* Address reprint requests to Dr Baisden, KMC/SGHS Keesler AFB, MS 39534


   Abstract
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The case of a 68-year-old man with advanced symptomatic coronary artery disease and large aneurysm of the diverticulum of the ductus arteriosus is presented. Both the coronary artery disease and the aneurysm were successfully repaired at the same time via median sternotomy using cardiopulmonary bypass and a brief period of profound hypothermic circulatory arrest. To our knowledge, this is the 27th reported case of such an aneurysm in an adult.


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The opinions herein are those of the authors and not necessarily those of the Air Force or the Department of Defense.

We thank Sue Lowe for secretarial assistance in the preparation of the manuscript.


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  1. Mitchell RS, Seifer FC, Miller DC, Jamieson SW, Shumway NE. Aneurysm of the diverticulum of the ductus arteriosus in the adult: successful surgical treatment in five patients and review of the literature J Thorac Cardiovasc Surg 1983;86:400-408.[Abstract]
  2. Cruickshank B, Marquis RM. Spontaneous aneurysm of the ductus arteriosus Am J Med 1958;25:140-149.[Medline]
  3. Kofsky PM, Bell-Thompson J. Aneurysm of the diverticulum of the ductus arteriosus Surg Rounds 1988;11:79-82.
  4. Grossman MD, Karwande SV, Musket AD, Gay WA, Hunter R. Aneurysm of the diverticulum of the ductus arteriosus in the adult: changing natural history Contemp Surg 1988;33:69-82.
  5. Danza FM, Fusco A, Breda M, Bock E, Lemmo G, Colavita N. Ductus arteriosus aneurysm in an adult AJR 1984;143:131-133.[Free Full Text]



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This Article
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