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Eur J Cardiothorac Surg 2001;19:221-222
© 2001 Elsevier Science NL

Case report

External compression of bronchus by aneurysm from divided major aortopulmonary collateral artery after unifocalization

Hyun-Sung Lee, Young Hwan Park, Bum Koo Cho

Division of Cardiovascular Surgery, Cardiovascular Center, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, South Korea

Received 25 September 2000; received in revised form 27 November 2000; accepted 29 November 2000.

Corresponding author. Tel.: +82-2-361-7283; fax: +82-2-313-2992
e-mail: yhpark{at}yumc.yonsei.ac.kr

The right ventricle to pulmonary artery connection with an extracardiac conduit, left pulmonary artery reconstruction, ligation of patent ductus arteriosus, and take-down of right Blalock–Taussig shunt were performed on a 1-year-8-month-old boy who had pulmonary atresia, ventricular septal defect, patent ductus arteriosus, and major aortopulmonary collateral arteries. He previously underwent the unifocalization and right modified Blalock–Taussig shunt at 9 months of age. He repeatedly had a difficulty in weaning from the mechanical ventilator. After removing the aneurysm from the divided major aortopulmonary collateral artery that compressed the left main bronchus externally, it was possible to wean him from the mechanical ventilator.

Key Words: Major aortopulmonary collateral arteries • Unifocalization






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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.