1 From the Departments of Pathology and Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, New York, and the Department of Pathology, University of South Carolina School of Medicine, Charleston, South Carolina.
In the case presented, multiple aneurysms of the peripheral pulmonary arteries occurred in a child with secondary pulmonary hypertension complicated by bacterial endocarditis. Study of other reported cases suggests that pulmonary hypertension may be significantly associated with the development of mycotic aneurysms. As surgical resection of aneurysms has been at least temporarily successful, increased attention may be given to control of infection in these patients and to the appreciation of the frequency of aneurysms of the main pulmonary artery as well as peripheral pulmonary arteries in patients with congenital heart disease and pulmonary hypertension complicated by bacterial endocarditis.
© 1967 American Heart Association, Inc.
Mycotic Aneurysms of the Intrapulmonary Arteries
Key Words: Congenital cardiac disease • Bacterial endocarditis • Recurrent infections • Pulmonary hypertension • Thromboembolism
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