Abstrakt: |
To the Editor.—The causes of dilatation of the main pulmonary artery have been well described.1 The following case is reported because of the demonstration of extreme poststenotic dilatation of the main pulmonary artery simulating an aortic aneurysm.Report of a Case.—A 66-year-old dentist was rejected from the draft in 1942 because of a heart murmur. In 1954, he was first told of an "aneurysm," but sought no further advice. In 1966, he was seen by another physician, who advised the patient to be evaluated for an aortic aneurysm and he was then admitted to the Queens Hospital Center. At that time, an x-ray film (Fig 1) revealed a slightly enlarged heart, a round mediastinal mass on the left side, together with slight deviation of the trachea to the right and downward displacement of the left main bronchus, with decreased vascularity of the left upper lung field. Right |