Giant pulmonary artery aneurysm in a patient with vasoreactive pulmonary hypertension: a case report

Araújo, Inês; Escribano, Pilar; López-Gude, María Jesús; Lopez-Guarch, Carmen Jimenez; Sanchez, M.A. Gomez; Ruiz-Cano, María J.; Delgado, Juan; Cortina, José M.

doi:10.1186/1471-2261-11-64

Cited by 25 publications

(30 citation statements)

References 10 publications

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“…Septic emboli, especially in those with intracardiac shunts, lead to cerebral involvement, and can have serious sequelae 8. New neurological symptoms and deficits should be investigated immediately, especially in patients with cyanosis, with non-invasive imaging and lumbar puncture reserved for suspected meningoencephalitis.…”

Section: Resultsmentioning

confidence: 99%

The CRASH report: emergency management dilemmas facing acute physicians in patients with pulmonary arterial hypertension

Price

Dimopoulos

Marino

et al. 2017

Thorax

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Treatment of acute emergencies in patients with pulmonary arterial hypertension (PAH) can be challenging. In the UK and Ireland, management of adult patients with PAH is centred in eight nationally designated pulmonary hypertension (PH) centres. However, many patients live far from these centres and physicians in local hospitals are often required to manage PAH emergencies. A committee of physicians from nationally designated PH centres identified the 'most common' emergency clinical scenarios encountered in patients with PAH. Thereafter, a review of the literature was performed centred on these specified topics and a management approach was developed based on best available evidence and expert consensus. Management protocols were developed on the following PAH emergencies: chest pain (including myocardial ischaemia), right ventricular failure, arrhythmias, sepsis, haemoptysis ('CRASH'), as well as considerations relevant to surgery, anaesthesia and pregnancy. Emergencies are not uncommon in PAH. While expertise in PAH management is essential, all physicians involved in acute care should be aware of the principles of acute management of PAH emergencies. A multidisciplinary approach is necessary, with physicians from tertiary PH centres supporting care locally and planning safe transfer of patients to PH centres when appropriate.

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Section: Resultsmentioning

confidence: 99%

The CRASH report: emergency management dilemmas facing acute physicians in patients with pulmonary arterial hypertension

Price

Dimopoulos

Marino

et al. 2017

Thorax

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“…Common causes of PAAs are pulmonary hypertension, congenital heart disease, pulmonary stenosis, trauma and vasculitis 2 3. Associated symptoms may include haemoptysis or dyspnoea as in our case.…”

Section: Descriptionmentioning

confidence: 69%

Expansive pulmonary artery aneurysm in an IV drug user

2015

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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.

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“…Desde la era antibió-tica los aneurismas de origen infeccioso son aún más infrecuentes (Araújo et al, 2011).…”

Section: Introductionunclassified

Aneurisma de arteria pulmonar asociado a agenesia de válvula pulmonar

Vizcarra¹,

Galarza²,

Echeverría³

et al. 2017

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We report the case of a patient 20-year-old woman with Dyspnea and chest pain associated with moderate effort, with no heart disease previously known. The assessments showed dilatation of main trunk and branches of pulmonary artery with severe pulmonary regurgitation, mild pulmonary hypertension, mild dilation and moderate right ventricle hypertrophy; that underwent surgery for severe pulmonary insufficiency and to surgically cure pulmonary aneurysm. The intraoperative review found an Agenesis of the septal leaflet of the pulmonary valve and pulmonary artery aneurysm. A change of pulmonary valve and plasty aneurysm was performed.Key words: pulmonary artery aneurysm, pulmonary valve agenesis, echocardiography resumen Reportamos el caso de una paciente mujer de 20 años con disnea y dolor torácico asociado a esfuerzo moderado, sin enfermedad cardiaca conocida, previamente. Las evaluaciones demostraron dilatación de tronco principal y ramas de arteria pulmonar con regurgitación pulmonar severa, hipertensión pulmonar leve, dilatación leve e hipertrofia moderada de ventrículo derecho; sometida a cirugía por insuficiencia pulmonar severa y cura quirúrgica de aneurisma pulmonar. El hallazgo intraoperatorio fue agenesia del velo septal de la válvula pulmonar y aneurisma de arteria pulmonar y sus ramas. Se realizó un cambio de válvula y plastía del aneurisma.

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Giant pulmonary artery aneurysm in a patient with vasoreactive pulmonary hypertension: a case report

Cited by 25 publications

References 10 publications

The CRASH report: emergency management dilemmas facing acute physicians in patients with pulmonary arterial hypertension

The CRASH report: emergency management dilemmas facing acute physicians in patients with pulmonary arterial hypertension

Expansive pulmonary artery aneurysm in an IV drug user

Aneurisma de arteria pulmonar asociado a agenesia de válvula pulmonar

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