Aneurysm of the left pulmonary artery: surgical allograft repair

Casselman, Filip; Deferm, H.; Peeters, Patrick; Vanermen, Hugo

doi:10.1016/0003-4975(95)00586-a

Cited by 23 publications

(11 citation statements)

References 6 publications

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“…It has been reported in approximately 5% of autopsy series involving patients with chronic cavitary tuberculosis [39–44]. Despite absence of clear guidelines for treatment of PAA, several surgical techniques including aneurysmorrhaphy, Dacron graft replacement, pulmonary allograft replacement, and replacement with combination of Dacron prosthesis and stentless bioprosthesis are advocated [9, 19, 21, 28, 45, 46]. Furthermore, patients presenting with massive hemoptysis are usually treated with a bronchial artery embolization procedure [47].…”

Section: Discussionmentioning

confidence: 99%

Bilateral multiple pulmonary artery aneurysms associated with cavitary pulmonary tuberculosis: a case report

Pallangyo¹,

Lyimo

Bhalia³

et al. 2017

J Med Case Reports

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BackgroundPulmonary artery aneurysms constitute <1% of aneurysms occurring in the thoracic cavity. Congenital cardiac defects are responsible for the majority (>50%) of cases, however, pulmonary artery aneurysm is a rare sequelae of pulmonary tuberculosis reported in about 5% of patients with chronic cavitary tuberculosis on autopsy. The natural history of this potentially fatal condition remains poorly understood and guidelines for optimal management are controversial.Case presentationA 24-year-old man, a nursing student of African descent, was referred to us from an up-country regional hospital with a 4-week history of recurrent episodes of breathlessness, awareness of heartbeats and coughing blood 3 weeks after completing a 6-month course of anti-tuberculosis drugs. A physical examination revealed conjuctival and palmar pallor but there were no stigmata of connective tissue disorders, systemic vasculitides or congenital heart disease. An examination of the cardiovascular system revealed accentuated second heart sound (S2) with early diastolic (grade 1/6) and holosystolic (grade 2/6) murmurs at the pulmonic and tricuspid areas respectively. Blood tests showed iron deficiency anemia, prolonged bleeding time, and mild hyponatremia. A chest radiograph revealed bilateral ovoid-shaped perihilar opacities while a computed tomography scan showed bilateral multiple pulmonary artery pseudoaneurysms with surrounding hematoma together with adjacent cystic changes, consolidations, and tree-in-bud appearance. Our patient refused to undergo surgery and died of aneurismal rupture after 9 days of hospitalization.ConclusionsThe presence of intractable hemoptysis among patients with tuberculosis even after completion of anti-tuberculosis course should raise an index of suspicion for pulmonary artery aneurysm. Furthermore, despite of its rarity, early recognition and timely surgical intervention of pulmonary artery aneurysm is crucial to reducing morbidity and preventing the attributed mortality.

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Section: Discussionmentioning

confidence: 99%

Bilateral multiple pulmonary artery aneurysms associated with cavitary pulmonary tuberculosis: a case report

Pallangyo¹,

Lyimo

Bhalia³

et al. 2017

J Med Case Reports

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“…Определяется аневризма легочного ствола, аневризма правой легочной артерии, левой легочной артерии. же комбинированное использование биопротеза и синтетического протеза [5][6][7].…”

Section: Discussionunclassified

Surgical correction of isolated pulmonary artery aneurysm

Козлов¹,

Панфилов²,

Pryakhin³

et al. 2017

Kardiol. serdechno-sosud. khir.

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Научно-исследовательский институт кардиологии, Томский национальный исследовательский центр Российской академии наук, отдел сердечно-сосудистой хирургии, Томск, Россия Ключевые слова: аневризма легочной артерии, хирургическая коррекция.Keywords: aneurysm of the pulmonary artery, surgical treatment.

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“…Reported procedures have included Dacron interposition graft placement, autologous pericardial replacement of the main pulmonary artery, and pulmonary arterial aneurysmorrhaphy. [13][14][15] One of our patients had a Dacron graft replacement and the other patients had pulmonary arterial aneurysmorrhaphy/plication. All had pulmonary valve replacement, thereby relieving not only right ventricular volume overload but also the associated haemodynamic burden on the vessel wall as described earlier.…”

Section: Discussionmentioning

confidence: 99%

Suspected bilateral renal artery stenosis

Lee¹

2003

Heart

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Objective: To investigate the effects of socioeconomic deprivation on cardiovascular risk factors and postoperative clinical outcomes of patients undergoing coronary artery bypass grafting (CABG). Design: Retrospective analysis of prospectively collected data. Setting: Surgical population of the southwest of England, April 1996 and August 2000. Study group: Data on 3578 consecutive patients undergoing CABG at the Bristol Royal Infirmary NHS Trust were abstracted. Data were retrieved from the Patient Analysis & Tracking System. Carstairs index was used to measure socioeconomic deprivation of area of residence and was divided into five quintiles, where quintile 1 denotes least deprived and 5 most deprived. Outcome measures: End points were postoperative complications and 30 day mortality. Results: Higher deprivation scores were associated with younger age (p < 0.004), greater body mass index, diabetes, smoking at time of surgery, and higher EuroSCOREs (all p < 0.001). After adjustment for EuroSCORE, socioeconomic deprivation was independently associated with postoperative myocardial infarction (p = 0.05) and combined postoperative myocardial infarction, stroke, and death (p = 0.016). Hospital length of stay for the patients in the highest quintiles was also significantly longer than for those in the lower quintiles (p = 0.04). Conclusion: Patients undergoing CABG living in areas with high deprivation scores are younger, have more clinical risk factors, and experience more postoperative cardiovascular complications than patients living in low deprivation score areas.

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Aneurysm of the left pulmonary artery: surgical allograft repair

Cited by 23 publications

References 6 publications

Bilateral multiple pulmonary artery aneurysms associated with cavitary pulmonary tuberculosis: a case report

Bilateral multiple pulmonary artery aneurysms associated with cavitary pulmonary tuberculosis: a case report

Surgical correction of isolated pulmonary artery aneurysm

Suspected bilateral renal artery stenosis

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