1
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Berger T, Siepe M, Simon B, Beyersdorf F, Chen Z, Kondov S, Schlett CL, Bamberg F, Tarkhnishvili A, Chikvatia S, Czerny M, Rylski B, Kreibich M. Pulmonary artery diameter: means and normal limits-assessment by computed tomography angiography. Interact Cardiovasc Thorac Surg 2021; 34:637-644. [PMID: 34791257 PMCID: PMC9026207 DOI: 10.1093/icvts/ivab308] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 09/30/2021] [Accepted: 10/07/2021] [Indexed: 11/14/2022] Open
Affiliation(s)
- Tim Berger
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Matthias Siepe
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Björn Simon
- Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany.,Department for Diagnostic and Interventional Radiology, Medical Centre-University of Freiburg, Freiburg, Germany
| | - Friedhelm Beyersdorf
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Zehang Chen
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Stoyan Kondov
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Christopher L Schlett
- Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany.,Department for Diagnostic and Interventional Radiology, Medical Centre-University of Freiburg, Freiburg, Germany
| | - Fabian Bamberg
- Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany.,Department for Diagnostic and Interventional Radiology, Medical Centre-University of Freiburg, Freiburg, Germany
| | | | - Salome Chikvatia
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Martin Czerny
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Bartosz Rylski
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
| | - Maximilian Kreibich
- Department of Cardiovascular Surgery, University Heart Centre Freiburg, Freiburg, Germany.,Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
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2
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Arain FD, Gilbride VA. Pulmonary Artery Aneurysm Associated With Severe Pulmonary Hypertension in a Patient Presenting for Double Lung Transplant: Review of a Rare Disorder and Role of Transesophageal Echocardiography. Semin Cardiothorac Vasc Anesth 2021; 25:164-172. [DOI: 10.1177/10892532211007259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Pulmonary artery aneurysm (PAA) is a rare disorder that may be classified as congenital, acquired, or idiopathic, in the case of unclear etiology. When associated with severe idiopathic pulmonary arterial hypertension, such a case of PAA may present to the operating room as an indication for lung transplantation. In this article, we present such a case of a patient with a giant main and right PAA that underwent a double lung transplant. We describe the pathophysiology and natural course of this PAA and discuss the role of intraoperative transesophageal echocardiography in the management of patients with this rare diagnosis.
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Affiliation(s)
- Faisal D. Arain
- University Hospitals Cleveland Medical Center, Cleveland, OH, USA
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3
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Khanna S, Ong T, Chow C, Trombetta C. Giant pulmonary artery aneurysms. COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2021. [DOI: 10.5554/22562087.e959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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4
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Nuche J, Montero-Cabezas JM, Lareo A, Huertas S, Jiménez López-Guarch C, Velázquez Martín M, Alonso Charterina S, Revilla Ostolaza Y, Delgado JF, Arribas Ynsaurriaga F, Escribano Subías P. Influence of long-standing pulmonary arterial hypertension and its severity on pulmonary artery aneurysm development. Heart Vessels 2020; 35:1290-1298. [DOI: 10.1007/s00380-020-01600-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 03/27/2020] [Indexed: 11/30/2022]
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5
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Balcı E, Demir A, Özgök A, Karadeniz Ü. Anaesthesia Management in Idiopathic Pulmonary Artery Aneurysm Surgery. Turk J Anaesthesiol Reanim 2019; 47:503-506. [PMID: 31828249 DOI: 10.5152/tjar.2019.21447] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Accepted: 03/17/2019] [Indexed: 11/22/2022] Open
Abstract
Pulmonary artery (PA) aneurysm is a very rare disease. Surgical treatment is important in symptomatic patients. Due to its anatomical condition, the rupture of such aneurysms may lead to sudden right ventricular failure or sudden death. The aim of this report is to present the use of balanced general anaesthesia management in a patient who underwent PA aneurysm repair surgery. Surgical repair was planned in a 55-year-old man with chest and back pain as well as haemoptysis. With the help of balanced anaesthesia, stress on the aneurysm wall was prevented by avoiding sudden blood pressure increases. With appropriate ventilation methods, we attempted to avoid an increase in pulmonary vascular resistance, and therefore, the pressure on the aneurysm, as well as an increase in the postoperative right ventricle. With the help of appropriate anaesthesia and ventilation techniques, uncomplicated and successful anaesthetic management was effected in the repair of a PA aneurysm.
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Affiliation(s)
- Eda Balcı
- Clinic of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey
| | - Aslı Demir
- Clinic of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey
| | - Ayşegül Özgök
- Clinic of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey
| | - Ümit Karadeniz
- Clinic of Anaesthesiology and Reanimation, Ankara City Hospital, Ankara, Turkey
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6
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Rahman S, Cook G, Zheng J, Rehman A. Minimally Invasive Pulmonary Artery Aneurysm Repair Through a Left Anterior Minithoracotomy-an Alternative Approach. INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY 2019; 14:353-356. [PMID: 31050322 DOI: 10.1177/1556984519841284] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose in this case was to repair a less invasive approach than a standard sternotomy. Workup of asymptomatic patient with computerized tomography scan of chest revealed pulmonary artery aneurysm and transesophageal echocardiography demonstrated flow stagnation in aneurysm. An alternative minimally invasive approach was performed to repair the pulmonary artery aneurysm with plication through a left anterior minithoracotomy using normothermic cardiopulmonary bypass with percutaneous peripheral cannulation, instead of median sternotomy. Post-repair transesophageal echocardiography demonstrated normal flow in the pulmonary artery. The patient had an uneventful postoperative course and was seen in the outpatient clinic with excellent recovery. Minimally invasive repair of pulmonary artery aneurysm through a left anterior minithoracotomy is a feasible alternative approach. Minimally invasive repair of pulmonary artery aneurysm through a left anterior minithoracotomy is a feasible alternative approach.
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Affiliation(s)
| | - Gary Cook
- 1 Lourdes Health System, Camden, NJ, USA
| | | | - Atiq Rehman
- 3 Director Minimally Invasive Cardiac Surgery, Director Surgery Transcatheter Valve Therapy, Lourdes Health System, Camden, NJ, USA
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7
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Tamura T, Yabuki T, Kawajiri T, Nishi T, Kudo K, Kuyama S. Transcatheter embolization for idiopathic peripheral pulmonary arterial aneurysm: A case report. Clin Case Rep 2019; 7:1021-1024. [PMID: 31110738 PMCID: PMC6509901 DOI: 10.1002/ccr3.2154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Accepted: 03/30/2019] [Indexed: 11/09/2022] Open
Abstract
The natural history of idiopathic peripheral pulmonary arterial aneurysms (PAAs) is unclear; however, they can cause sudden death by rupture. Our case illustrates the utility and low invasiveness of transcatheter embolization using an AMPLATZER™ Vascular Plug 4 and hydrogel-coated metallic coils in patients with idiopathic peripheral PAAs.
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Affiliation(s)
- Tomoki Tamura
- Department of Respiratory MedicineIwakuni Clinical CenterIwakuniJapan
| | | | - Tomoka Kawajiri
- Department of Respiratory MedicineIwakuni Clinical CenterIwakuniJapan
| | - Tatsuya Nishi
- Department of Respiratory MedicineIwakuni Clinical CenterIwakuniJapan
| | - Kenichiro Kudo
- Department of Respiratory MedicineIwakuni Clinical CenterIwakuniJapan
| | - Shoichi Kuyama
- Department of Respiratory MedicineIwakuni Clinical CenterIwakuniJapan
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