Huge idiopathic pulmonary artery aneurysm

Sa-Kong, Heon; Seol, Sang–Hoon; No, Tae-Hoon; Park, Dong-hee; Jeong, Nari; Jeong, Su-Jin; Kim, Doo-Il

doi:10.1016/j.radcr.2017.01.023

Cited by 8 publications

(12 citation statements)

References 12 publications

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“…In our patient, there was no complication occurred. Although there are various cardiac imaging modalities, pulmonary angiography still remains as the gold-standard for diagnosing PAA because of its capability to evaluate pressure gradients within the right side of the heart and the extension of aneurysmal structure into the vascular structure [7]. However, we could only evaluate using TTE and CT because of the limited resources in our hospital.…”

Section: Discussionmentioning

confidence: 98%

Proximal Pulmonary Artery Aneurysm Secondary to Suspected Pulmonary Hypertension Treated with Conservative Therapy in Limited Resource Setting

Intan

Hasibuan²,

Nugraha

et al. 2019

Am J Case Rep

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Rare disease Background: Pulmonary artery aneurysm (PAA) is a rare disease in cardiovascular system. This disease is difficult to diagnose and less often considered due to its non-specific clinical manifestations. Until now there are no clear guidelines about its optimal management because of the small number of reported cases. Case Report: We report a 56-year-old male with chief complain of atypical bilateral chest pain and shortness of breath. Initial electrocardiogram (ECG) and laboratory evaluation showed no sign of ischemic heart disease. After the patient was stabilized, he was evaluated using chest x-ray, transthoracic echocardiography (TTE), and multi slice computed tomography (MSCT). The patient was then diagnosed with PAA secondary to suspicion of pulmonary hypertension (PH) with chronic obstructive pulmonary disease and heart failure. Conservative treatment was chosen because of the limited resources for surgery and patient's refusal to be referred. The treatment aims to lower the pulmonary artery pressure while monitoring the aneurysm. His 6-month follow-up evaluation showed an improvement in pulmonary artery pressure and persistent of the PAA without any increasement of the diameter. Conclusions: PAA is a rare disease that is difficult to diagnose because of its non-specific nature. Persistent atypical chest pain can be an early symptom of PAA, thus clinicans should be aware in a high-risk patient suffered persistent chest pain, despite normal ECG and laboratory findings. TTE and MSCT evaluation are reliable for diagnosing PH and PAA. With conservative treatment and routine follow-up, patient with PAA secondary to PH could be managed well.

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Section: Discussionmentioning

confidence: 98%

Proximal Pulmonary Artery Aneurysm Secondary to Suspected Pulmonary Hypertension Treated with Conservative Therapy in Limited Resource Setting

Intan

Hasibuan²,

Nugraha

et al. 2019

Am J Case Rep

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“…PDA accounts for 5-12% of all congenital heart defects and is found twice as often in females. Mortality of untreated PDA in adults is estimated at 1.8% per year [ 2 , 4 ] . In adults, PDA is usually incidentally discovered during physical examination or echocardiographic screening.…”

Section: Discussionmentioning

confidence: 99%

“…PDA typically presents a continuous murmur heard at the upper left sternal border, but may be completely asymptomatic [ 3 , 4 ] . Silent PDA, tolerated for years, may become clinically significant when acquired conditions such as the development of chronic obstructive pulmonary disease, or manifestations of valvular or ischemic heart disease are present [ 2 - 4 ] . Some patients can develop congestive heart failure, pulmonary hypertension, signs of right or left heart volume overload, endocarditis, or recurrent pneumonia.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients can develop congestive heart failure, pulmonary hypertension, signs of right or left heart volume overload, endocarditis, or recurrent pneumonia. Pulmonary artery aneurysms diagnosed in our patient, also a rare condition, could also be a consequence of structural cardiac anomalies, especially congenital heart diseases such as PDA [ 2 - 4 ] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unusual Presentation of Patent Ductus Arteriosus in Elderly Patient

Mićović¹,

Nesic²,

Miličić³

et al. 2020

Braz J Cardiovasc Surg

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We presented a case of a 56-year-old man with giant pulmonary artery aneurysm caused by a misdiagnosed patent ductus arteriosus, severe multivalvular disease and active aortic valve endocarditis successfully treated by surgery. The correct diagnosis was missed despite preoperative diagnostics because the small patent ductus arteriosus was located at the distal part of common pulmonary trunk and a huge regurgitant signal overlapped its Doppler signal. Thorough evaluation of every patient, regardless of age, is necessary to recognize and treat this congenital anomaly.

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“…PAAs are classified according to causes as congenital, acquired, and idiopathic . Idiopathic PAAs are rare; however, several cases have been reported . Greene and Baldwin have proposed four pathological criteria for diagnosing an idiopathic PAA: simple dilatation of the pulmonary trunk with or without involvement of the rest of the arterial tree, the absence of intracardiac or extracardiac shunts, the absence of chronic cardiac or pulmonary disease, and the absence of arterial disease such as syphilis or more than minimal atheromatosis or arteriosclerosis of the pulmonary vascular tree .…”

Section: Introductionmentioning

confidence: 99%