FATAL RUPTURE OF AN ACQUIRED ANEURYSM OF THE PULMONARY-ARTERY - RARE COMPLICATION AFTER SURGICAL PALLIATION OF TRICUSPID-ATRESIA

We report the case of a young woman who died from rupture of an aneury smal dilatation of the left pulmonary artery. She suffered from tricus pid atresia type To and underwent a classic Glenn anastomosis at the a ge of 11 months; at 11 years a direct laterolateral anastomosis was co nstructed between the ascending aorta and the left pulmonary artery ra ther than a Fontan procedure for technical reasons. She subsequently d eveloped severe pulmonary hypertension and an aneurysmal dilatation of the left pulmonary artery and was refused any further surgical correc tion.