Ruptured Aneurysm of the Ductus Diverticulum into the Pulmonary Artery in a Man: A Successful Repair

Autor: Setsuo Kuraoka, Takao Watanabe, Kiyoshige Inui, Tohru Kanaya, Yasuhisa Shimazaki, Takashi Minowa, Naoshi Oshikiri, Naoki Yanagawa, Yoshiko Yamaguchi
Rok vydání: 2010
Předmět:
Zdroj: Journal of Cardiac Surgery. 13:146-149
ISSN: 1540-8191
0886-0440
DOI: 10.1111/j.1540-8191.1998.tb01252.x
Popis: Aneurysm of the ductus diverticulum in the adult is rare and its rupture is fatal. A 75-year-old man presented with congestive heart failure that suddenly occurred with a continuous murmur. Angiography showed a left-to-right shunt through a large thrombosed aneurysm of the ductus diverticulum (6 cm), and the pulmonary-to-systemic flow ratio was 2.6. Patch closure of the orifice (3x4 cm) of the aneurysm and repair of the perforated pulmonary artery were done emergently under hypothermic cardiopulmonary bypass with selective cerebral perfusion. He recovered uneventfully. Early recognition and early intervention should be indicated in this otherwise fatal condition.
Databáze: OpenAIRE