Fibrosing mediastinitis with severe bilateral pulmonary artery narrowing: Rv-rpa bypass with a homograft conduit

Monica R. Gustafson, Michael J. Moulton

Research output: Contribution to journalArticle

6 Scopus citations


Although fibrosing mediastinitis is uncommon, it is a devastating sequela of certain granulomatous diseases. The compression of mediastinal structures can lead to severe cardiopulmonary symptoms. We report the case of a 50-year-old woman who presented with severe bilateral branch pulmonary artery compression 6 months after bilateral pulmonary artery stenting. We performed bypass surgery with use of a homograft conduit. Seven months postoperatively, the homograft and stent in the right pulmonary artery were patent, and the patient had resumed activities of daily living, including full-time employment. In addition to reporting this patient's case, we discuss surgery as an alternative to stenting in patients with fibrosing mediastinitis.

Original languageEnglish (US)
Pages (from-to)412-415
Number of pages4
JournalTexas Heart Institute Journal
Issue number3
Publication statusPublished - Jul 26 2012



  • Anastomosis
  • Fibrosis/pathology
  • Mediastinaldiseases/pathology
  • Pulmonary artery/surgery
  • Stoplasmosis/complications/pathology
  • Surgical
  • Treatment outcome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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