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1. Rich S. Pulmonary Hypertension. In Braunwald: Heart Disease: A Textbook of Cardiovascular Medicine. Sixth ed. Braunwald E, Zipes DP, and Libby P eds. W. B. Saunders Company, 2001.

2. Voelkel NF, Tuder RM. Severe pulmonary hypertensive diseases: a perspective. Eur Respir J. 1999; 14:1246-50.

3. Brickner ME, Hillis LD, Lange RA. Congenital heart disease in adults. First of two parts. N Engl J Med. 2000; 342:256-63.

4. Hang CL, Sullebarger JT. Patent ductus arteriosus presenting in old age. Cathet Cardiovasc Diagn. 1993; 28:228-30.

5. Alpert MA. Obesity cardiomyopathy: pathophysiology and evolution of the clinical syndrome. Am J Med Sci. 2001; 321:225-36.

6. Anderson RC, Fagan MJ, Sebastian J. Teaching students the art and science of physical diagnosis. Am J Med. 2001; 110:419-23.

7. Kopelman PG. Obesity as a medical problem. Nature. 2000; 404:635-43.

8. Heath D, Edwards JE: The pathology of hypertensive pulmonary vascular disease: A description of six grades of structural changes in the pulmonary arteries with special reference to congenital cardiac septal defects. Circulation 18:533-547, 1958.

Figure 47. Probe-patent ductus arteriosus (Ao = Aorta, Pa = pulmonary artery).

Figure 49. Lung, Histologie section. Plexogenic arteriopathy in pulmonary hypertension (Hematoxylin and Eosin, 40X)

Figure 50. Pseudoaneurysm (arrow) in pulmonary hypertension, histologic section. The internal elastic lamina is disrupted (Elastic stain, 40X).

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