Giant aneurysm of main pulmonary artery

“…Low-pressure aneurysms seem to have a low risk of rupture, even with marked dilatations up to 16 mm in diameter [2,3]. However, PAA associated with PH tend to have more complications [2,6], which was the rationale for pulmonary vasodilator use in our patient. The presence of fusiform aneurysms in multiple pulmonary branches made surgery not feasible.…”

mentioning

confidence: 70%

Combined pulmonary vasodilator therapy and endovascular intervention for Hughes–Stovin syndrome

Jaramillo¹,

Gómez‐Bueno²,

Suárez³

et al. 2015

International Journal of Cardiology

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“…Although surgical correction for main pulmonary artery aneurysms in the setting of other cardiac anomalies has been performed since the 1970s, 3 isolated surgery for pulmonary artery aneurysm due to Eisenmenger syndrome, to our knowledge, has not been previously reported. Rare case reports indicate that pulmonary artery dissection in young patients with Eisenmenger syndrome had been treated successfully with heart-lung transplantation, but this would not serve as an option for our patient.…”

Section: Discussionmentioning

confidence: 97%

Hoarseness and Chest Pain in Eisenmenger Syndrome With Pulmonary Artery Aneurysm

Chang

Chard²,

Yiannikas³

2012

Circulation

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A 62-year-old woman presented with a 4-month history of persistent and progressively worsening left upper chest pain despite analgesia. One month prior, she had noticed a hoarseness of voice. Physical examination at the time revealed cyanosis, clubbing of hands and feet, and pulmonary regurgitation murmur but no right ventricular failure. There was prominent bulging of her rib cage over the left upper precordium. Cardiac catheterization at 12 years of age had confirmed Eisenmenger syndrome (with mean pulmonary arterial pressure of 86 mm Hg) due to an atrial septal defect and significant shunt reversal. In recent years, she had progressive dilation of her pulmonary arterial trunk despite phosphodiesterase inhibitor treatment for 6 years.A transthoracic echocardiogram revealed an aneurysmal pulmonary arterial trunk with severely elevated right ventricular systolic pressure at 84 mm Hg and right ventricular hypertrophy typical of Eisenmenger syndrome (Figure 1). Computed tomography pulmonary angiogram revealed a giant main pulmonary arterial aneurysm with maximal dimension of 7.2 cm but no radiographic evidence of dissec-

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Giant aneurysm of main pulmonary artery

Cited by 29 publications

References 8 publications

Suppurative pericarditis complicated by mycotic aneurysm of the pulmonary artery

Suppurative pericarditis complicated by mycotic aneurysm of the pulmonary artery

Combined pulmonary vasodilator therapy and endovascular intervention for Hughes–Stovin syndrome

Hoarseness and Chest Pain in Eisenmenger Syndrome With Pulmonary Artery Aneurysm

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