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Published on October 14, 2009
Interactive CardioVascular and Thoracic Surgery 2009, doi:10.1510/icvts.2009.219840
© 2009 European Association of Cardio-Thoracic Surgery
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Cardiac general

Ruptured pseudoaneurysm of the pulmonary artery - rare manifestation of a primary pulmonary artery sarcoma

Achim Koch 1*, Gunhild Mechtersheimer 1, Ursula Tochtermann 1, Matthias Karck 1

1 University of Heidelberg, Germany

* To whom correspondence should be addressed. E-mail: achim_koch{at}med.uni-heidelberg.de.


  Abstract
A 64-year-old male developed chest pain while gardening. Aortic dissection and coronary artery disease were excluded but chest computed tomography (CT) scan showed an aneurysmic enlargement of the pulmonary artery and a fluttering structure within. He underwent immediate sternotomy for replacement of the pulmonary artery. Histology showed an intimal sarcoma of both branches of the pulmonary artery. The pulmonary artery was replaced by a T-shaped Gore-Tex-prothesis. Keywords: Pulmonary artery sarcoma; Aneurysm; Pulmonary artery




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