Pulmonary artery aneurysm: an incidental findin
DOI:
https://doi.org/10.21615/cesmedicina.34.2.6Keywords:
Aneurysm, Pulmonar artery, Hemoptisis, Case reportAbstract
Aneurysms of the pulmonary artery are rare entities and their treatment is a matter of discussion. From the etiological point of view, they can be congenital or acquired. Those in the first group are generally associated with cardiac malformations that generate pulmonary hypertension, with the ductus arteriosus being the most frequent. Other abnormalities include atrial or ventricular defects. The acquired causes may be idiopathic or associated with infections (tuberculosis, syphilis), trauma, or collagen disease. We present the case of a 62-year-old woman, which consulted for a clinical condition
where neurological and infectious symptoms stood out, with subsequent progression to a state of septic shock, and in whom the imaging finding showed a giant pulmonary artery aneurysm. this being an incidental finding and unrelated to the patient’s symptoms.
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References
Deterling RA, Clagett OT. Aneurysm of the pulmonary artery; review of the literature and report of a case. Am Heart J. 1947 Oct;34 (4):471–99.
Blades B, Ford W, Clark P. Pulmonary artery aneurysms; report of a case treated by surgical intervention. Circulation. 1950 Oct;2 (4):565–71.
Metras D, Ouattara K, Quezzin-Coulibaly A. Aneurysm of the pulmonary artery with cystic medial necrosis and massive pulmonary valvular insufficiency. Report of two successful surgical cases. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 1987;1 (2):119–24.
Duijnhouwer AL, Navarese EP, Van Dijk APJ, Loeys B, Roos-Hesselink JW, De Boer MJ. Aneurysm of the Pulmonary Artery, a Systematic Review and Critical Analysis of Current Literature. Congenit Heart Dis. 2016 Apr;11 (2):102–9.
Kreibich M, Siepe M, Kroll J, Höhn R, Grohmann J, Beyersdorf F. Aneurysms of the pulmonary artery. Circulation. 2015 Jan 20;131 (3):310–6.
Truong QA, Massaro JM, Rogers IS, Mahabadi AA, Kriegel MF, Fox CS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study. Circ Cardiovasc Imaging. 2012 Jan;5 (1):147–54.
Boerrigter B, Mauritz G-J, Marcus JT, Helderman F, Postmus PE, Westerhof N, et al. Progressive dilatation of the main pulmonary artery is a characteristic of pulmonary arterial hypertension and is not related to changes in pressure. Chest. 2010 Dec;138 (6):1395–401.
Bartter T, Irwin RS, Nash G. Aneurysms of the pulmonary arteries. Chest. 1988 Nov;94 (5):1065–75.
Plessinger VA, Jolly PN. Rasmussen’s aneurysms and fatal hemorrhage in pulmonary tuberculosis. Am Rev Tuberc. 1949 Nov;60 (5):589–603, illust.
Paulo N, Cascarejo J, Vouga L. Syphilitic aneurysm of the ascending aorta. Interact Cardiovasc Thorac Surg. 2012 Feb;14 (2):223–5.
Kim HS, Oh Y-W, Noh HJ, Lee KY, Kang E-Y, Lee SY. Mycotic pulmonary artery aneurysm as an unusual complication of thoracic actinomycosis. Korean J Radiol. 2004 Mar;5 (1):68–71.
Kohno S, Fujikawa M, Kanda T, Asai S, Hirota M, Sameshima Y. A case of Behçet’s syndrome with rupture of a pulmonary aneurysm: autopsy findings and a literature review. Jpn J Med. 1986 Aug;25 (3):293–300.
Chalazonitis AN, Lachanis SB, Mitseas P, Argyriou P, Tzovara J, Porfyrides P, et al. Hughes-Stovin syndrome: a case report and review of the literature. Cases J. 2009 Jan 29;2:98.
Boyd KD, Thomas SJ, Gold J, Boyd AD. A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients. Chest. 1983 Sep;84 (3):245–9.
Shum PL, Ngo B, Chen X, Jarvis R. Pulmonary artery pseudoaneurysm secondary to metastatic breast cancer. South Asian J Cancer. 2018;7 (1):20.
Agarwal PP, Dennie CJ, Matzinger FR, Peterson RA, Seely JM. Pulmonary artery pseudoaneurysm secondary to metastatic angiosarcoma. Thorax. 2006 Apr;61 (4):366.
Greene DG, Baldwin ED. Pure congenital pulmonary stenosis and idiopathic congenital dilatation of the pulmonary artery. Am J Med. 1949 Jan;6 (1):24–40.
Shankarappa RK, Moorthy N, Chandrasekaran D, Nanjappa MC. Giant pulmonary artery aneurysm secondary to primary pulmonary hypertension. Tex Heart Inst J. 2010;37 (2):244–5.
Seguchi M, Wada H, Sakakura K, Kubo N, Ikeda N, Sugawara Y, et al. Idiopathic pulmonary artery aneurysm. Circulation. 2011 Oct 4;124 (14):e369-370.
Tsui EY, Cheung YK, Chow L, Chau LF, Yu SK, Chan JH. Idiopathic pulmonary artery aneurysm: digital subtraction pulmonary angiography grossly underestimates the size of the aneurysm. Clin Imaging. 2001 Jun;25 (3):178–80.
Geiger J, Hirtler D, Bürk J, Stiller B, Arnold R, Jung B, et al. Postoperative pulmonary and aortic 3D haemodynamics in patients after repair of transposition of the great arteries. Eur Radiol. 2014 Jan;24 (1):200–8.
Veldtman GR, Dearani JA, Warnes CA. Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies. Heart Br Card Soc. 2003 Sep;89 (9):1067–70.
Vural AH, Türk T, Ata Y, Göncü T, Ozyazicioglu A. Idiopathic asymptomatic main pulmonary artery aneurysm: surgery or conservative management? A case report. Heart Surg Forum. 2007;10 (4):E273-275.
Inayama Y, Nakatani Y, Kitamura H. Pulmonary artery dissection in patients without underlying pulmonary hypertension. Histopathology. 2001 May;38 (5):435–42.
Gupta M, Agrawal A, Iakovou A, Cohen S, Shah R, Talwar A. Pulmonary artery aneurysm: a review. Pulm Circ. 2020 Mar;10 (1):2045894020908780.
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