Incidental Finding of Giant Aneurysm od Trunk of the Pulmonary Artery
DOI:
https://doi.org/10.3823/1755Keywords:
pulmonary artery aneurysm, pulmonary artery, aneurysm.Abstract
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.
Â
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.
Â
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.
References
Smalcelj A, et al. Giant, dissecting, high-pressure pulmonary artery aneurysm: case report of a 1-year natural course. Tex Heart Inst J. 2005;32(4):589-94.
Barbour DJ, Roberts WC. Aneurysm of the pulmonary trunk unassociated with intracardiac or great vessel left-to-right shunting. Am J Cardiol. 1987;59(1):192–194.
Johnston KW, et al. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg. 1991;13(3):452–458.
Nguyen ET, et al. Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography. American Journal of Roentgenology.2007;188(2):126–134.
Sakuma M, et al. Proximal Pulmonary Artery Aneurysms in Patients with Pulmonary Artery Hypertension: Complicated Cases. Intern Med.2007;46(21):1789–1793.
Vanhuyse F, Maureira P, Folliguet T, Villemot JP. Pulmonary Artery Aneurysm : A Case Report and Management of this Uncommon Pathology. Acta Chir Belg. 2014 Sep-Oct;114(5):349-51.
Barney D, Brown C, Das D, Kapoor M. Pulmonary artery aneurysm. J Emerg Med. 2015 May;48(5):605-6.
Kreibich M, et al. Aneurysms of the pulmonary artery. Circulation. 2015 Jan 20;131(3):310-6.
Tomas L, et al. Aneurisma idiopático de la artéria pulmonar: Presentación de un caso y revisión de la literatura. An Med Interna 2005,22.329-331.
Khalil MZ, Al-Nozha MM, Wani BA. Asymptomatic giant pulmonary artery aneurysm in an elderly male patient. Saudi Med J. 2004;25:802-4
Puri D, et al. Ruptured pulmonary artery aneurysm: a surgical emergency. Asian Cardiovasc Thorac Ann. 2011 Dec;19(6):436-9.
Veldtman GR, Dearani J A, Warnes C A. Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies. Heart 2003;89:1067-1070
Gomes O, et al. Giant aneurysm of the main pulmonary artery: case report. Rev Port Cardiol. 2008 Nov;27(11):1463-8.
Çil BE, et al. Embolization of a Giant Pulmonary Artery Aneurysm from Behçet Disease with Use of Cyanoacrylate and the “Bubble Techniqueâ€. Journal of Vascular and Interventional Radiology 2005;16:1545- 1549.
Kuwaki K, Morishita K, Sato H, Urita R, Abe T. Surgical repair of the pulmonary trunk aneurysm. European Journal of Cardio-Thoracic Surgery. 2000;18(5):535–539.
van Rens MTM, Westermann CJJ, Postmus PE, Schramel FM. Untreated idiopathic aneurysm of the pulmonary artery; long-term follow-up. Respiratory Medicine. 2000;94(4):404–405.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
Â
Â
