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* |
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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 |
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