Large Aneurysm of Patent Ductus Arteriosus in an Adult Presenting with Severe Dyspnea and Heart Failure

(Department of Cardiovascular Surgery, Nagahama City Hospital, Nagahama, Japan and Department of Cardiovascular Surgery, Shizuoka Children's Hospital*, Shizuoka, Japan)

Mitsuru Kitano Hujihiro Oka Masaya Murata*
A 70-year-old man was admitted to our hospital because of cough and dyspnea. On the 7th hospital day, he suddenly suffered by severe pulmonary congestion and bilateral pleural effusion with a prominent heart murmur. After improvement of the symptoms, 3-D CT scan and cardiac catheterization confirmed patent ductal aneurysm of about 10.5 cm in diameter. Because of pulmonary hemorrhage, an emergency operation was performed using a left thoracotomy approach. A large aneurysmal mass of about 12cm in diameter was transected and the pulmonary end and aortic end of the ductus arteriosus were closed using a patch under partial cardiopulmonary bypass. His postoperative course was uneventful and he was discharged on the 27th day after operation.
@Jpn. J. Cardiovasc. Surg. 32F56-58i2003j