Two giants: Giant cell arteritis causing a giant pulmonary artery aneurysm

Stevens, Monica L.; Swan, Kevin William; Bommareddi, Swaroop; Ali, Syed Osman

doi:10.1016/j.xjtc.2023.04.016

Cited by 1 publication

(2 citation statements)

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“…The functionality of the pulmonary valve needs to be evaluated to determine if it is affected. If the valve function is normal and only the annulus is enlarged, a procedure similar to David's ( 16 ) or Devega's ( 15 ) can be performed, preserving as much function of the pulmonary valve as possible; if the valve function is abnormal, a bioprosthetic pulmonary valve is also a good option ( 12 , 18 ) ( Figure 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…For patients with appropriate or normal vessel wall thickness, direct removal of the pulmonary aneurysm can be performed. However, for patients with very thin pulmonary arteries, it is recommended to use artificial vascular grafts, along with wrapping using the patient's blood vessels (11)(12)(13). Subsequently, the involvement of both the right and left pulmonary arteries must be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

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Case Report: Surgical management of idiopathic pulmonary aneurysms and review surgical approaches

Wu,

Fan,

et al. 2023

Front. Cardiovasc. Med.

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Idiopathic pulmonary aneurysm is a clinically rare condition characterized by an unknown etiology and episodic occurrence. Despite its rarity, idiopathic pulmonary artery aneurysm poses potential risks to patients. Currently, there is a lack of established clinical guidelines and consensus regarding its management, leading to ongoing controversies in treatment strategies. Particularly, the optimal approach for addressing the main pulmonary artery, its branches, and the pulmonary artery valve remains uncertain. A 57-year-old female patient presented with chest pain and tightness, leading to the diagnosis of idiopathic pulmonary artery aneurysm after excluding other potential causes. Subsequently, she underwent surgical treatment. However, during the surgery, the pulmonary artery wall was found to be extremely weak, prompting us to employ a surgical approach involving the utilization of autologous vessel wrapping with artificial grafts. By summarizing almost all surgical treatment strategies reported in recent years, including the management of pulmonary artery vessels and the pulmonary valve, we have developed a treatment flow chart. This flowchart serves as a valuable guide for the management of future cases presenting similar challenges, offering clinicians valuable insights and evidence-based recommendations.

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