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Rupturiertes Pseudoaneurysma der Pulmonalarterie

Seltene Erstmanifestation eines primären Pulmonalarteriensarkoms

Ruptured pseudoaneurysma oft he pulmonary artery

Rare initial manifestation of a primary sarcoma of the pulmonary artery

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Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Ein 64-jähriger Mann entwickelte bei der Gartenarbeit einen akuten Brustschmerz. Aortendissektion und koronare Herzerkrankung konnten ausgeschlossen werden, die thorakale Computertomographie zeigte jedoch eine aneurysmatische Vergrößerung der Pulmonalarterie mit einer intraluminal flottierenden Struktur. Der Patient wurde zum Ersatz der Pulmonalarterie unmittelbar sternotomiert. Die Histologie ergab ein intimales Sarkom der beiden Pulmonalarterienäste. Die Pulmonalarterie wurde mittels einer T-förmigen Gore-Tex-Prothese ersetzt.

Abstract

A 64-year-old man developed chest pains while gardening. Aortic dissection and coronary artery disease were excluded but a computed tomography scan of the chest revealed an aneurysmatic enlargement of the pulmonary artery and an intraluminal fluttering structure. Sternotomy was immediately carried out for replacement of the pulmonary artery. Histology identified an intimal sarcoma of both branches of the pulmonary artery. The pulmonary artery was replaced by a T-shaped Gore-Tex prosthesis.

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Authors and Affiliations

  1. Klinik für Thorax- und Kardiovaskuläre Chirurgie, Westdeutsches Herzzentrum, Hufelandstr. 55, 45122, Essen, Deutschland

    A. Koch M.D.

  2. Abteilung Herzchirurgie, Universität Heidelberg, Heidelberg, Deutschland

    U. Tochtermann & M. Karck

  3. Pathologisches Institut, Universität Heidelberg, Heidelberg, Deutschland

    G. Mechtersheimer

Authors
  1. A. Koch M.D.
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  2. G. Mechtersheimer
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  3. U. Tochtermann
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  4. M. Karck
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Correspondence to A. Koch M.D..

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Koch, A., Mechtersheimer, G., Tochtermann, U. et al. Rupturiertes Pseudoaneurysma der Pulmonalarterie. Z Herz- Thorax- Gefäßchir 24, 285–287 (2010). https://doi.org/10.1007/s00398-010-0787-9

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  • DOI: https://doi.org/10.1007/s00398-010-0787-9

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