A 57-year-old man with a history of prosthetic aortic valve and supracoronary ascending aortic replacement presented with a 9.8 cm Sinuses of Valsalvae aneurysm ruptured into the left upper pulmonary vein leading to massive pulmonary hemorrhage due to acute rupture of small pulmonary veins. Prosthetic graft replacement of the aneurysm and reconstruction of the atrial roof and left upper pulmonary vein was performed. Inhaled nitric oxide reversed treatment-refractory hypoxemia following massive small pulmonary vein trauma.
Key words:
Pulmonary vein trauma - Pulmonary hemorrhage - Inhaled nitric oxide
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Received for Publication: April 15, 2000
Paul R. Vogt,MD, FETCS
Clinic for Cardiovascular Surgery University Hospital, Rämistraße 100
8091 Zurich, Switzerland
Phone: 0041 1 255 11 11
Fax: 0041 1 255 44 46
Email: paul.vogt@chi.usz.ch
