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European Heart Journal 1990 11(7):670-673;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Dissecting aneurysm of the pulmonary artery in a case of unoperated patent ductus arteriosus

S. H. SARDESAI*, R. J. MARSHALL, R. FARROW and A. J. MOURANT

Royal Cornwall Hospital(Treliske) Truro, Cornwall, U.K.

Received 27 June 1989; revised 3 November 1989; .

Address for correspondence to: Anthony J Mourant MRCP, Royal Cornwall Hospital (Treliske), Truro, Cornwall, England.

Abstract

A 54-year-old woman with unoperated patent ductus arteriosus developed fatal cardiac tamponade due to a dissecting aneurysm of the pulmonary artery causing haemopericardium. Histology of the pulmonary artery showed the presence of cystic medial necrosis. Previous reports of this condition are reviewed and the role of pulmonary hypertension causing secondary cystic medial necrosis is discussed.

Key Words: Dissecting aneurysm • pulmonary artery • patent ductus arteriosus • pulmonary artery hypertension • cystic medial necrosis


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