Thorac Cardiovasc Surg 2008; 56(3): 168-170
DOI: 10.1055/s-2007-965300
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Pulmonary Artery Aneurysm and Coronary Artery Disease in a Patient with Previous Cardiac Surgery

Ö. Kandemir1 , Ü. Yildiz2 , T. Tezcaner2 , Y. Zorlutuna2
  • 1Department of Cardiovascular Surgery, Zonguldak Karaelmas University, Medical Faculty, Zonguldak, Turkey
  • 2Department of Cardiovascular Surgery, Bayindir Hospital, Ankara, Turkey
Further Information

Publication History

Received December 12, 2006

Publication Date:
26 March 2008 (online)

Introduction

Pulmonary artery aneurysms (PAA) - that is, aneurysms with a diameter greater than 5 cm - are very rare lesions and can occur as central or as peripheral types [[1]]. Their cause and pathogenesis is not clear. Documented etiologies include primary or secondary pulmonary hypertension, pulmonary valve stenosis, infections, systemic disorders such as Behçet's syndrome and other congenital and acquired cardiovascular diseases [[2]]. Their natural history and management is controversial. The risk of rupture and dissection is higher in patients with high pulmonary artery pressures.

We present a patient with previous cardiac surgery, a large main, left and right PAA and coronary artery disease.

References

  • 1 Nair K SK, Cobanoglu A M. Idiopathic main pulmonary artery aneurysm.  Ann Thorac Surg. 2001;  71 1688-1690
  • 2 Veldtman G R, Dearani J A, Warnes C A. Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies.  Heart. 2003;  89 1067-1070
  • 3 Senbaklavaci O, Kaneko Y, Bartunek A. et al . Rupture and dissection in pulmonary artery aneurysms: incidence, cause and treatment - review and case report.  J Thorac Cardiovasc Surg. 2001;  121 1006-1008
  • 4 Casselman F, Meyns B, Herygers P, Verougstraete L, Elst F V, Daenen W. Pulmonary artery aneurysm: is surgery always indicated?.  Acta Cardiologica. 1997;  52 431-436
  • 5 Roth M, Reuthebuch O T, Klövekorn W P, Bauer E P. Repair of an aneurysm of the pulmonary trunk in a 65-year-old patient.  Ann Thorac Surg. 1999;  67 244-246

MD Özer Kandemir

Department of Cardiovascular Surgery
Karaelmas University
Medical Faculty

Kozlu

06450 Zonguldak

Turkey

Phone: + 90 37 22 61 01 83

Fax: + 90 37 22 61 01 55

Email: ozerkandemir@isnet.net.tr