David's procedure for pulmonary artery aneurysm

Circi, Renda; Boysan, Emre; Altunkeser, Bülent Behlül; Aygül, Nazif; Cagli, Kumral; Çağlı, Kerim; Şener, Erol

doi:10.1111/jocs.14480

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…Surgery has been used to treat PAAs [14]. Proximal aneurysms may be reconstructed with aneurysmorrhaphy [15,16]. Lobectomy seems to be the most commonly described approach for patients with PAAs and BD [14].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Artery-Tracheal Fistula After Coil Implantation for Behcet’s Disease

Hansen

Dyke

2020

Cureus

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Behcet’s disease (BD) is a rare autoimmune disorder that results in diffuse full-thickness vasculitis. Pulmonary artery aneurysms (PAAs) and hemoptysis are known complications of this disease process, with high morbidity and mortality for affected patients. Although medical, endovascular, and surgical treatment strategies have all been described in the literature, there are little data to describe the long-term outcomes of these various treatment modalities and there continues to be a lack of clearly defined algorithms for the management of these patients. We report a case of PAA in the setting of BD who was treated over the course of many years with medical therapy and coil embolization but ultimately failed treatment, sustained a complication of coil erosion and migration into the trachea twice, and required surgical lobectomy for definitive management. We discuss an algorithm for the management of patients with BD who have PAAs.

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Section: Discussionmentioning

confidence: 99%

Pulmonary Artery-Tracheal Fistula After Coil Implantation for Behcet’s Disease

Hansen

Dyke

2020

Cureus

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“…Reisenauer et al described aneurysmorrhaphy or aneurysmectomy with graft interposition as a surgical option in their single-center experience of 38 patients [6]. Franciosi et al and Circi et al described a Yacoub and a David's procedure to treat a giant PAA in the presence of a normal pulmonary valve, respectively [9,10]. We opted for a porcine root due to its excellent performance and longterm outcomes [11,12].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Cuko¹,

Haddani²,

Baudo³

et al. 2023

Cureus

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Pulmonary artery aneurysm (PAA) is a rare disorder with a difficult diagnosis and debated management in literature due to the limited number of cases. Even if the definitive treatment of PAA is surgery, consistent guidelines still need to be developed to help surgeons determine when intervention is appropriate. We report a case of a 77-year-old female diagnosed with central PAA measuring 61 mm at contrast-enhanced computerized tomography scan which was treated surgically. The patient underwent a successful elective complete pulmonary root replacement with a Medtronic Freestyle (Medtronic Inc, Minneapolis, MN) porcine root. Postprocedural recovery and follow-up at 12 months were uneventful.

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“…The functionality of the pulmonary valve needs to be evaluated to determine if it is affected. If the valve function is normal and only the annulus is enlarged, a procedure similar to David's ( 16 ) or Devega's ( 15 ) can be performed, preserving as much function of the pulmonary valve as possible; if the valve function is abnormal, a bioprosthetic pulmonary valve is also a good option ( 12 , 18 ) ( Figure 3 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Surgical management of idiopathic pulmonary aneurysms and review surgical approaches

Wu,

Fan,

et al. 2023

Front. Cardiovasc. Med.

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Idiopathic pulmonary aneurysm is a clinically rare condition characterized by an unknown etiology and episodic occurrence. Despite its rarity, idiopathic pulmonary artery aneurysm poses potential risks to patients. Currently, there is a lack of established clinical guidelines and consensus regarding its management, leading to ongoing controversies in treatment strategies. Particularly, the optimal approach for addressing the main pulmonary artery, its branches, and the pulmonary artery valve remains uncertain. A 57-year-old female patient presented with chest pain and tightness, leading to the diagnosis of idiopathic pulmonary artery aneurysm after excluding other potential causes. Subsequently, she underwent surgical treatment. However, during the surgery, the pulmonary artery wall was found to be extremely weak, prompting us to employ a surgical approach involving the utilization of autologous vessel wrapping with artificial grafts. By summarizing almost all surgical treatment strategies reported in recent years, including the management of pulmonary artery vessels and the pulmonary valve, we have developed a treatment flow chart. This flowchart serves as a valuable guide for the management of future cases presenting similar challenges, offering clinicians valuable insights and evidence-based recommendations.

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David's procedure for pulmonary artery aneurysm

Cited by 11 publications

References 9 publications

Pulmonary Artery-Tracheal Fistula After Coil Implantation for Behcet’s Disease

Pulmonary Artery-Tracheal Fistula After Coil Implantation for Behcet’s Disease

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Case Report: Surgical management of idiopathic pulmonary aneurysms and review surgical approaches

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