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Volume 356:2110-2112 May 17, 2007 Number 20
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Pulmonary-Artery Dissection in Patients with Eisenmenger's Syndrome

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To the Editor: Adults with congenital heart disease who have pulmonary hypertension may have dissection of the pulmonary artery. Increasingly recognized as a lethal complication, pulmonary-artery dissection has usually been recorded at autopsy.1 Survivors often receive conservative care, because Eisenmenger's syndrome is deemed inoperable. Heart–lung transplantation has been performed in patients in the chronic phase of the disease.2 However, we suggest that the early, high mortality rate associated with Eisenmenger's syndrome warrants urgent conventional repair of the pulmonary artery.

A 26-year-old man with an unrepaired double-outlet right ventricle presented at our center with chest pain and breathlessness. A ventricular septal . . . [Full Text of this Article]


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