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Severe pulmonary stenosis and aortopulmonary fistula caused by a dissecting aneurysm in the ascending aorta  Kazuhito Imanaka, MD, Shunei Kyo, MD, Haruhiko.

Published byJohannes Salo Modified over 6 years ago

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Presentation on theme: "Severe pulmonary stenosis and aortopulmonary fistula caused by a dissecting aneurysm in the ascending aorta  Kazuhito Imanaka, MD, Shunei Kyo, MD, Haruhiko."— Presentation transcript:

1 Severe pulmonary stenosis and aortopulmonary fistula caused by a dissecting aneurysm in the ascending aorta  Kazuhito Imanaka, MD, Shunei Kyo, MD, Haruhiko Asano, MD, Noboru Motomura, MD, Shinichi Takamoto, MD, Masaaki Kato, MD, Masanori Ogiwara, MD, Osami Kohmoto, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 126, Issue 2, Pages (August 2003) DOI: /S (03)

2 Figure 1 A, Magnetic resonance imaging (angiogram). The image shows a dissecting aneurysm in the ascending aorta (black arrow indicates the intimal tear) that compressed the PA, causing severe pulmonary stenosis (large white arrow), and that was accompanied by a fistula into the PA (small white arrow). B, Echocardiogram. Proximally, the aneurysm (asterisk) reached the level of the aortic valve annulus (small arrows). The large arrow indicates the intimal tear. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (03) )

3 Figure 2 The PA wall (arrows) was gray and very floppy and fragile, and the PA wall around the orifice of the fistula was resected. The aortic root and the ascending aorta had already been replaced with a cryopreserved allograft (asterisk). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (03) )

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