Conservative management of a large idiopathic pulmonary artery aneurysm: A case report

Turnow, Morgan; Elston, Sidney; Golzarian, Hafez; Chanamolu, Sreenivasa

doi:10.1016/j.amsu.2022.103853

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Furthermore, the risk of rupture is highest in patients with large aneurysms (>5 cm) and/or pulmonary hypertension in which case operative or procedural intervention may be warranted. 13,14 Given the potential challenges of accessing the PAA during intervention 15 and the patient's preference, continuous monitoring via follow-up imaging and history was deemed more appropriate in our case.…”

Section: Discussionmentioning

confidence: 99%

Incidental case of an idiopathic pulmonary arterial aneurysm masquerading as a stable pulmonary nodule for 17 years

Lee

Cho

Matti

et al. 2023

SAGE Open Medical Case Reports

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A true pulmonary arterial aneurysm is the dilation of all three vascular walls in a pulmonary artery. True pulmonary arterial aneurysms are very rare, and the relatively minor cases on this topic present with symptoms pertaining to the causes of trauma, Behçet’s disease, pulmonary vasculitis, granulomatous lung infections, and cartilage instability. A rupture of the pulmonary arterial aneurysm can be life-threatening and often requires surgical repair. Our case presents a 70-year-old male who was referred to pulmonary clinic for evaluation of an asymptomatic, incidental finding in his right lower lobe that was considered to represent a pulmonary nodule based on its presentation on computed tomography imaging. The referring provider had requested a possible biopsy. Before proceeding with a biopsy, the presence of the pulmonary aneurysm was confirmed only after the fluorodeoxyglucose-positron emission tomography scan and a computed tomography angiography were performed. Our case illustrates the importance of including pulmonary aneurysm in the differential during work-up of a pulmonary nodule, as diagnostic sampling could have been detrimental.

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Section: Discussionmentioning

confidence: 99%

Incidental case of an idiopathic pulmonary arterial aneurysm masquerading as a stable pulmonary nodule for 17 years

Lee

Cho

Matti

et al. 2023

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…Pulmonary artery hypertension or compression of adjacent structures are other suggested surgical indications [7]. Turnow et al described a case report of effective conservative management of a large idiopathic PAA with a 15% decrease in size at a 6-month follow-up in an asymptomatic and hemodynamically stable patient [8]. However, when conservative management is chosen, aneurysm rupture is possible and consequences may be lethal.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Cuko¹,

Haddani²,

Baudo³

et al. 2023

Cureus

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Pulmonary artery aneurysm (PAA) is a rare disorder with a difficult diagnosis and debated management in literature due to the limited number of cases. Even if the definitive treatment of PAA is surgery, consistent guidelines still need to be developed to help surgeons determine when intervention is appropriate. We report a case of a 77-year-old female diagnosed with central PAA measuring 61 mm at contrast-enhanced computerized tomography scan which was treated surgically. The patient underwent a successful elective complete pulmonary root replacement with a Medtronic Freestyle (Medtronic Inc, Minneapolis, MN) porcine root. Postprocedural recovery and follow-up at 12 months were uneventful.

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Surgical treatment of idiopathic pulmonary artery aneurysm

Charchyan,

Malgin,

Breshenkov

et al. 2024

Rus. J. Cardio. Cardiovas. Surg.

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Conservative management of a large idiopathic pulmonary artery aneurysm: A case report

Cited by 3 publications

References 18 publications

Incidental case of an idiopathic pulmonary arterial aneurysm masquerading as a stable pulmonary nodule for 17 years

Incidental case of an idiopathic pulmonary arterial aneurysm masquerading as a stable pulmonary nodule for 17 years

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Surgical treatment of idiopathic pulmonary artery aneurysm

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