Three-decade follow-up in pulmonary artery ectasia: risk assessment strategy

[Idiopathic pulmonary artery aneurysm in a young woman]

Pulmonary artery aneurysms are rare. Diverse causes, including congenital heart defects, infections, vasculitides, neoplasms, alterations in connective tissue, pulmonary artery hypertension, trauma, and iatrogenic complications, contribute to their development. Most patients with pulmonary artery aneurysms are asymptomatic or have nonspecific symptoms. The etiology and size of the aneurysm, the presence of pulmonary artery hypertension, and the patient's symptoms will define the management approach. We present the case of a young woman with idiopathic dilation of the main pulmonary artery.

Idiopathic asymptomatic main pulmonary artery aneurysm: surgery or conservative management? A case report

Idiopathic main pulmonary artery aneurysm is a very rare entity and there are no clear guidelines for optimal treatment. Operative treatment is recommended for patients with a risk of rupture, which is not well defined. We present an unusual case of a 53-year-old woman with an idiopathic main pulmonary artery aneurysm. Our case is asymptomatic, without a causative cardiac lesion and/or pulmonary hypertension; therefore, we did not operate on our patient and she was stable at 22-month follow-up.