Surgical repair of the pulmonary trunk aneurysm

“…The surgical treatment is usually indicated in the most unstable aneurysms with hemoptysis and in cases in which a fatal outcome because of the increased risk of rupture is foreseeable, such as mycotic aneurysm, the ones associated with Behcet's disease, Hughes-Stovin syndrome, Marfan syndrome and Osler-Weber-Rendu syndrome [1,12]. Several surgical techniques have been reported as replacement for the Dacron graft, the substitution with the combination of Dacron prosthesis and bioprosthesis, aneurysmorraphy and repair of lung allograft [15].…”

Section: Discussionmentioning

confidence: 99%

Incidental Finding of Giant Aneurysm of Trunk of the Pulmonary Artery

Marques

Victor²,

Vasconcelos³

et al. 2015

Int Arch Med

View full text Add to dashboard Cite

Introduction: Pulmonary artery aneurysm (PAA) is a rare condition and associated with multiple pathologies. In most cases there are reports of dyspnea and palpitation, however, some patients are completely asymptomatic. Its natural history is uncertain and there are no clear guidelines about its treatment and monitoring.Method: This is one case report, obtained through data from medical records of a reference hospital, located in the city of Juazeiro do Norte, Ceará, Brazil.Case Report: Patient, female, 64 years old, healthy, sought medical assistance after a clinical picture of drug allergy. The physical examination performed at admission revealed hyperdynamic precordium associated with systolic thrills and murmur. Her chest radiography (X-ray) revealed a mediastinal widening, which after CT evaluation, it was found that it was a large aneurysm of trunk of the pulmonary artery. As it remained asymptomatic throughout the investigation and she refused to undergo surgical treatment, there was the adoption of a conservative conduct only with an outpatient treatment.

show abstract

“…Reported procedures have included Dacron interposition graft placement, autologous pericardial replacement of the main pulmonary artery, and pulmonary arterial aneurysmorrhaphy. [13][14][15] One of our patients had a Dacron graft replacement and the other patients had pulmonary arterial aneurysmorrhaphy/plication. All had pulmonary valve replacement, thereby relieving not only right ventricular volume overload but also the associated haemodynamic burden on the vessel wall as described earlier.…”

Section: Discussionmentioning

confidence: 99%

Suspected bilateral renal artery stenosis

Lee¹

2003

Heart

View full text Add to dashboard Cite

Objective: To investigate the effects of socioeconomic deprivation on cardiovascular risk factors and postoperative clinical outcomes of patients undergoing coronary artery bypass grafting (CABG). Design: Retrospective analysis of prospectively collected data. Setting: Surgical population of the southwest of England, April 1996 and August 2000. Study group: Data on 3578 consecutive patients undergoing CABG at the Bristol Royal Infirmary NHS Trust were abstracted. Data were retrieved from the Patient Analysis & Tracking System. Carstairs index was used to measure socioeconomic deprivation of area of residence and was divided into five quintiles, where quintile 1 denotes least deprived and 5 most deprived. Outcome measures: End points were postoperative complications and 30 day mortality. Results: Higher deprivation scores were associated with younger age (p < 0.004), greater body mass index, diabetes, smoking at time of surgery, and higher EuroSCOREs (all p < 0.001). After adjustment for EuroSCORE, socioeconomic deprivation was independently associated with postoperative myocardial infarction (p = 0.05) and combined postoperative myocardial infarction, stroke, and death (p = 0.016). Hospital length of stay for the patients in the highest quintiles was also significantly longer than for those in the lower quintiles (p = 0.04). Conclusion: Patients undergoing CABG living in areas with high deprivation scores are younger, have more clinical risk factors, and experience more postoperative cardiovascular complications than patients living in low deprivation score areas.

show abstract

Surgical repair of the pulmonary trunk aneurysm

Abstract: Surgical management should be considered for large aneurysm of the pulmonary trunk regardless of its etiology and underlying disease to prevent possible rupture with fatal result if the patient has an acceptably low operative risk.

Cited by 52 publications

References 15 publications

Suppurative pericarditis complicated by mycotic aneurysm of the pulmonary artery

Suppurative pericarditis complicated by mycotic aneurysm of the pulmonary artery

Incidental Finding of Giant Aneurysm of Trunk of the Pulmonary Artery

Suspected bilateral renal artery stenosis

Contact Info

Product

Resources

About