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Previous Volume 357:718-719 August 16, 2007 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: With regard to the surgical management of pulmonary-artery dissection in a patient with Eisenmenger's syndrome, described by Westaby et al. (May 17 issue),¹ Eisenmenger's syndrome is defined as the reversal of a long-standing left-to-right shunt, resulting in a right-to-left shunt. This change is a consequence of progressively increasing pressure in the right side of the heart. The authors report concomitant closure of the patent ductus arteriosus. Such closure in this setting remains contentious if not dangerous without evidence of pulmonary arterial reactivity and an accurate estimation of pulmonary vascular resistance. If the patent ductus arteriosus is closed, . . . [Full Text of this Article]

Related Letters:

Pulmonary-Artery Dissection in Patients with Eisenmenger's Syndrome
Westaby S., Evans B. J., Ormerod O.
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N Engl J Med 2007; 356:2110-2112, May 17, 2007. Correspondence

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