Pulmonary Artery Dissection: A Case Treated by Homograft Replacement

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• 作者：Didier K. Adodo ; MD^a ; ^{didieradodo@yahoo.fr} ; Martin Kloeckner ; MD^b ; Eric Bergoend ; MD^a ; Jean-Paul Couë ; til ; MD ; PhD^a
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：103
• 期：1
• 页码：e47-e49
• 全文大小：584 K
• 卷排序：103

文摘

Pulmonary artery dissection was diagnosed in a 32-year-old man who was admitted to the emergency department with intense chest pain. He had a history of pulmonary balloon valvuloplasty for congenital pulmonary stenosis at the age of 7 and no pulmonary hypertension. The operation was performed with cardiopulmonary bypass. The dissected pulmonary arterial trunk was removed with the distorted valve, and replaced with a pulmonary artery homograft. The postoperative course was uneventful. Histologic examination revealed medionecrosis. Pulmonary artery dissection is a rare but highly lethal pathology. In the absence of pulmonary hypertension, surgical treatment with homograft replacement can lead to excellent results.