Expansive pulmonary artery aneurysm in an IV drug user

Abstract

DESCRIPTIONA 46-year-old male with a history of IV drug use (methamphetamine and heroin) presented with upper respiratory complaints. His chest X-ray ( figure 1A, B) showed increased fullness in the area of the pulmonary artery. The successive chest CT ( figure 2A, B) showed a large aneurysm measuring 72×77 mm without evidence of chronic thrombus or advanced lung disease. An echocardiogram demonstrated a severely enlarged right ventricle but Figure 1 Posterior-anterior (A) and lateral (B) chest X-ray demonstrating an enlarged pulmonary artery in the left mediastinum.

Pulmonary artery aneurysm: a review

“…Most of the cases present with symptoms related to primary pulmonary disease or progressive PAH. Larger aneurysms were again noted to cause airway [34][35][36] or coronary artery compression. 37,38 In about 91% of the cases, the aneurysm was localized to main pulmonary artery, and two cases involved the distal vasculature.…”

A Rare Case of Peripheral Pulmonary Artery Aneurysm and Cavitating Pneumonia in a Patient with COVID-19 Managed with an Endovascular Method

“…The patients can be asymptomatic [10] . The pressure effect on surrounding structures may result in nonspecific symptoms [10] such as cough, cyanosis, bronchiectasis, pneumonia, dyspnea [11] , [12] , [13] , [14] , [15] , [16] , [17] , palpitation, hoarseness, and syncopal attacks [18] . Hemopysis, massive or recurrent small volume, is another presentation [19] .…”