Case report and management approach in idiopathic pulmonary arteries aneurysm

Saleem Haj-Yahia, Mohammad Sbaih, Khalil Bali, Ahmad Darwazah, Wafiq Othman, Mahmoud Zaghari, Gianni Angelini, Massimo Caputo, Abdel-Karim Barqawi

Research output: Contribution to journalArticle (Academic Journal)

3 Citations (Scopus)
169 Downloads (Pure)

Abstract

BACKGROUND: 

Idiopathic pulmonary artery aneurysm is a rare anomaly with only a handful reports in the literature. It is often asymptomatic, while the first presentation could be severe hemoptysis or death. Surgical intervention needs to be planned carefully with a multidisciplinary team approach to secure optimal outcome. We hope to spread our experience with such cases and to encourage other surgeons worldwide to deal surgically with these cases when its indicated.

CASE PRESENTATION: 

A 47 years old man presented to our institution after three episodes of hemoptysis, echo demonstrated good left ventricle (LV) systolic function, normal right ventricle (RV) size and function, Chest computed tomography (CT) revealed aneurysmal dilatation with pending rupture of the pulmonary artery trunk (4.5 cm), the left pulmonary artery (6 cm) and the right pulmonary artery (2.3 cm). The patient successfully underwent replacement of Pulmonary artery trunk, left pulmonary artery and right pulmonary artery by Wovex Prosthetic graft (28 mm). The patient discharged home on the eight postoperative day in good clinical condition .

CONCLUSION: 

With this case report we wish to emphasize the need for a careful multidisciplinary approach given the complex and rare nature of the reported pathology.

Original languageEnglish
Article number110
Number of pages5
JournalJournal of Cardiothoracic Surgery
Volume13
DOIs
Publication statusPublished - 26 Oct 2018

Structured keywords

  • Centre for Surgical Research

Keywords

  • Aneurysm/diagnostic imaging
  • Blood Vessel Prosthesis Implantation/methods
  • Computed Tomography Angiography
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Middle Aged
  • Pulmonary Artery/diagnostic imaging
  • Tomography, X-Ray Computed

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