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Asian Cardiovasc Thorac Ann 2002;10:359-361
© 2002 Asia Publishing EXchange Pte Ltd

CASE STUDY

Severe Unilateral Pulmonary Vascular Changes in Child With Polysplenia

Katsuhide Maeda, MD, Shigeo Yamaki, MD1,, Arata Murakami, MD, Jun Nakajima, MD, Toshio Hishi, MD, Shinichi Takamoto, MD

Department of Cardiothoracic Surgery
2 Department of Pediatrics Faculty of Medicine University of Tokyo Tokyo, Japan
1 Department of Cardiology Katta General Hospital Shiroishi, Fukushima, Japan
For reprint information contact: Katsuhide Maeda, MD Tel: 81 3 5800 8654 Fax: 81 3 5684 3989 email: maedak-tky{at}umin.ac.jp Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
A 12-year-old boy with polysplenia and single ventricle experienced recurrent episodes of pneumonia, hemoptysis, and pulmonary hypertension. Unilateral pulmonary vein obstruction was diagnosed, and a left pneumonectomy was performed. Microscopy of the resected specimen revealed pulmonary veno-occlusive disease in the small pulmonary venules, and old arteritis in the small pulmonary arteries.






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