1
|
Ioakeimidis NS, Pepis P, Valasiadis D, Gkountelas G, Mitrousi K, Tossios P. Large main pulmonary artery aneurysm: Case report and brief review of the literature. Radiol Case Rep 2024; 19:319-325. [PMID: 38028315 PMCID: PMC10661587 DOI: 10.1016/j.radcr.2023.10.038] [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: 06/22/2023] [Revised: 10/11/2023] [Accepted: 10/14/2023] [Indexed: 12/01/2023] Open
Abstract
Pulmonary artery aneurysms are a rare but often fatal clinical entity with an estimated incidence of 1 in 14,000 individuals in postmortem studies. They can be congenital or acquired. No specific guidelines regarding their optimal management, medical or surgical, currently exist and treatment is planned on a case-by-case basis since data regarding their clinical course and prognosis are limited. We present the case of a 77-year-old male patient who presented at the Emergency Department of our hospital with a complaint of exertional dyspnea and dull substernal pain over 1 week. Upon investigation, a main pulmonary artery true aneurysm measuring 61 mm on Computed Tomography was detected. The patient's history was remarkable for heavy smoking, arterial hypertension, dyslipidemia, known ascending aortic aneurysm, moderate COPD, and past tuberculosis. He was admitted to the Cardiology unit and treated as a case of decompensated heart failure with preserved ejection fraction. His symptoms improved with intravenous diuretics. A past chest MRI report, 7 years before his current event, described the main PA aneurysm measuring 51-52 mm. Regarding the main PA aneurysm, the heart team decided to follow a conservative approach with regular follow-up visits based on the patient's comorbidities, functional status, and slow growth rate of the PA aneurysm. Management of pulmonary artery aneurysms requires a heart-team approach in the context of the patient's underlying conditions and symptoms. More data are required in order to guide a treatment plan with an acceptable risk - benefit profile for each patient.
Collapse
Affiliation(s)
- Nikolaos S. Ioakeimidis
- Department of Cardiology, General Hospital of Florina “Eleni Th. Dimitriou”, Egnatias 9, Florina 53100, Greece
| | - Panagiotis Pepis
- Department of Cardiothoracic Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kiriakidi 1, Thessaloniki 54636, Greece
| | - Dimitrios Valasiadis
- Department of Cardiology, General Hospital of Florina “Eleni Th. Dimitriou”, Egnatias 9, Florina 53100, Greece
| | - Georgios Gkountelas
- Department of Radiology, General Hospital of Florina “Eleni Th. Dimitriou”, Egnatias 9, Florina 53100, Greece
| | - Konstantina Mitrousi
- Department of Cardiac Imaging, Diagnostic Center “Ippokrateio - Ygeia Ptolemaidas”, Trapezountos 44, Ptolemaida 50200, Greece
| | - Paschalis Tossios
- Department of Cardiothoracic Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kiriakidi 1, Thessaloniki 54636, Greece
| |
Collapse
|
2
|
Greaves SW, Dye L, Aranda PS, Cain MT, Haasler GB, Almassi GH, Pagel PS, Kreibich M, Beyersdorf F, Elefteriades JA. Perioperative Management of a Large Idiopathic Pulmonary Artery Aneurysm Without Pulmonary Arterial Hypertension. J Cardiothorac Vasc Anesth 2018; 32:2402-2408. [PMID: 29887125 DOI: 10.1053/j.jvca.2018.05.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Indexed: 11/11/2022]
Affiliation(s)
- Spencer W Greaves
- Cardiothoracic Surgery Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - Lonnie Dye
- Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - Patrick S Aranda
- Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - Michael T Cain
- Cardiothoracic Surgery Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - George B Haasler
- Cardiothoracic Surgery Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - G Hossein Almassi
- Cardiothoracic Surgery Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI
| | - Paul S Pagel
- Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.
| | - Maximilian Kreibich
- Department of Cardiovascular Surgery, Heart Center, University of Freiburg, Freiburg, Germany
| | - Friedhelm Beyersdorf
- Department of Cardiovascular Surgery, Heart Center, University of Freiburg, Freiburg, Germany
| | | |
Collapse
|
3
|
Akagi S, Nakamura K, Sarashina T, Ejiri K, Kasahara S, Ito H. Progression of pulmonary artery dilatation in patients with pulmonary hypertension coexisting with a pulmonary artery aneurysm. J Cardiol 2018; 71:517-522. [DOI: 10.1016/j.jjcc.2017.11.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Revised: 10/13/2017] [Accepted: 11/02/2017] [Indexed: 10/18/2022]
|
4
|
Boettcher BT, Makker H, Olund TJ, Pagel PS. Rare Cause of Chest Discomfort and Modest Exercise Intolerance in an Athlete. J Cardiothorac Vasc Anesth 2016; 30:1430-4. [PMID: 27236488 DOI: 10.1053/j.jvca.2016.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Paul S Pagel
- Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.
| |
Collapse
|
5
|
Gerloni R, Merlo M, Vitrella G, Lardieri G, Pinamonti B, Pappalardo A, Cattin L, Sinagra G. Pulmonary artery aneurysm and sarcoidosis. J Cardiovasc Med (Hagerstown) 2015; 16 Suppl 2:S77-8. [PMID: 25635751 DOI: 10.2459/jcm.0b013e328365a04f] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Pulmonary artery aneurysm unassociated to congenital heart disease and pulmonary hypertension is exceedingly rare. Its pathogenesis and correct management remain unknown. Sarcoidosis is a systemic disease that can exceptionally involve large vessels, leading to stenosis and dilatation. Pulmonary artery aneurysm has never been described in association with sarcoidosis. Surgical approach should prevent aneurysm rupture, but it is not known when surgery should be preferred to strict medical follow-up. In this report we present a case of large pulmonary artery aneurysm associated to systemic sarcoidosis underlining problematic management of diseases 'forgotten' by evidence based medicine.
Collapse
Affiliation(s)
- Riccardo Gerloni
- aDepartment of Internal Medicine bDepartment of Cardiology cDepartment of Cardiac Surgery, 'Ospedali Riuniti' and University of Trieste, Trieste, Italy
| | | | | | | | | | | | | | | |
Collapse
|
6
|
Cheng Y, Gao Y, Zhang W, Zhang C. [Huge Solitary Fibrous Tumor of Pleura Combined with Peripheral Pulmonary Artery Aneurysm: A Case Resport]. ZHONGGUO FEI AI ZA ZHI = CHINESE JOURNAL OF LUNG CANCER 2015; 18:523-5. [PMID: 26302351 PMCID: PMC6000233 DOI: 10.3779/j.issn.1009-3419.2015.08.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Solitary fibrous tumor of pleura (SFTP) is uncommon, accounts for less than 5% of all pleural tumors. Pulmonary artery aneurysm (PAA) is also not common, 80% of which often occurs in the main pulmonary trunk and peripheral PAA is rare. SFTP combined with PAA in one patient has not been reported. This paper reports a case of SFTP combined with peripheral PAA, and SFTP maybe accelerate PAA formation.
Collapse
Affiliation(s)
- Yuanda Cheng
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
| | - Yang Gao
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
| | - Weixing Zhang
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
| | - Chunfang Zhang
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
| |
Collapse
|
7
|
Kharge J, Singh AP, Raghu TR, Hegde M, Bharata A, Manjunath CN. Idiopathic dilatation of the pulmonary artery-a case report. Echocardiography 2013; 30:E265-8. [PMID: 23822657 DOI: 10.1111/echo.12291] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Idiopathic dilatation of the pulmonary artery (IDPA) is a rare anomaly presenting with enlargement of the pulmonary artery in the absence of an identifiable cause. The natural history of this silent but potentially life-threatening disease can be unpredictable. We report a case of IDPA in an 80-year-old female with a massively dilated pulmonary artery.
Collapse
Affiliation(s)
- Jayashree Kharge
- Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
| | | | | | | | | | | |
Collapse
|
8
|
Martínez-Quintana E, Rodríguez-González F, Nieto-Lago V. Pulmonary Artery Aneurysmal Dilatation in Adult Patients With Congenital Heart Disease. World J Pediatr Congenit Heart Surg 2011; 2:375-9. [DOI: 10.1177/2150135111405075] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Aneurysmal dilatation of the main pulmonary artery and its peripheral branches are rare lesions that account for less than 1% of all thoracic aneurysms and have a number of possible pathogenetic causes such as congenital heart disease (CHD), pulmonary artery hypertension, vasculitis, mycotic aneurysm, neoplasm, iatrogenic causes, trauma-related events, or connective tissue abnormalities. Methods: We conducted a retrospective review of the demographic data and the results of clinical examinations, laboratory tests, echocardiography, and angiography of patients managed at the Adult Congenital Heart Disease Unit of the Complejo Hospitalario Universitario Insular—Materno Infantil, between January 2004 and May 2010. Results: A total of 352 adult patients with CHD were studied. Of these, 8 (2.3%) patients had pulmonary artery aneurysmal dilatation (PAAD): 4 with low pressure of the pulmonary artery and 4 with pulmonary hypertension. Only 1 patient showed PAAD-related symptoms. Patients with CHD having PAAD had significantly higher prevalence of pulmonary artery hypertension and higher levels of C-reactive protein (CRP) than those without PAAD (incidence: 4 patients [50%] vs 18 patients [5.2%], P < .000; CRP in mg/dL: 0.52 [0.4; 1.2] vs 0.2 [0.0; 1.6], P = .016). No significant differences were found in cholesterol levels (total cholesterol, low-density lipoprotein [LDL], high-density lipoprotein [HDL], or triglycerides) between CHD patients with or without PAAD. Conclusion: In patients with CHD, PAAD is a rare finding. The PAAD size, etiology, symptoms, and association with pulmonary hypertension should guide decisions on whether conservative or surgical treatment should be applied.
Collapse
Affiliation(s)
- Efrén Martínez-Quintana
- Cardiology Service, Complejo Hospitalario Universitario Insular—Materno Infantil, Las Palmas de Gran Canaria, Spain
| | | | - Vicente Nieto-Lago
- Cardiology Service, Complejo Hospitalario Universitario Insular—Materno Infantil, Las Palmas de Gran Canaria, Spain
| |
Collapse
|
9
|
Surgical repair of an idiopathic pulmonary artery aneurysm. Gen Thorac Cardiovasc Surg 2011; 59:120-2. [DOI: 10.1007/s11748-010-0643-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2010] [Accepted: 05/16/2010] [Indexed: 11/25/2022]
|
10
|
Martínez-Quintana E, Rodríguez-González F, Gómez-Guindal JA, Junquera-Rionda P. [Idiopathic pulmonary artery aneurysm in a young woman]. RADIOLOGIA 2010; 52:255-7. [PMID: 20236670 DOI: 10.1016/j.rx.2010.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2009] [Revised: 12/29/2009] [Accepted: 01/02/2010] [Indexed: 10/19/2022]
Abstract
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.
Collapse
Affiliation(s)
- E Martínez-Quintana
- Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España.
| | | | | | | |
Collapse
|