Minimally Invasive Pulmonary Artery Aneurysm Repair Through a Left Anterior Minithoracotomy—an Alternative Approach

Rahman, S; Cook, Gary; Zheng, Jing; Rehman, Atiq

doi:10.1177/1556984519841284

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The operations are performed through a full medial sternotomy or a minimally invasive access such as left anterior minithoracotomy. The procedure needs extracorporeal circulation (ECC) to be applied [17,18]. Aneurysmorrhaphy and aneurysmectomy and repair or replacement of the right ventricular outflow tract are the most common surgical techniques [12][13][14][15][16][17].…”

Section: Review Papermentioning

confidence: 99%

Pulmonary artery aneurysm as a result of group 2 pulmonary artery hypertension in a patient with significant mitral and aortic valve disease – review and case report

Marzec¹,

Jaworska-Wilczyńska²,

Grobelny³

et al. 2020

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Aneurysms are uncommon, but potentially life-threatening abnormalities of the pulmonary arteries. Aneurysm of the main pulmonary artery (MPA) defined as MPA diameter over 40 mm was reported in 1 : 14 000 autopsies. The most frequent location is the main pulmonary artery (89% of cases), whereas the maximum described diameter is 106-170 mm. Clinical manifestations are usually nonspecific or asymptomatic. Right heart failure symptoms, pulmonary regurgitation, trachea or bronchi compression or pulmonary emboli caused by enlarged MPA are the most commonly described clinical manifestations. Pulmonary artery aneurysm dissection is an uncommon complication but associated with a high mortality rate. Unfortunately, guidelines regulating the optimal time for the surgical intervention still have not been developed. We present the history of 76-year-old patient suffering from an aneurysm of the pulmonary artery (74 × 61 mm), as well as mitral and aortic valve disease, who was successfully operated on in our hospital.

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Section: Review Papermentioning

confidence: 99%

Pulmonary artery aneurysm as a result of group 2 pulmonary artery hypertension in a patient with significant mitral and aortic valve disease – review and case report

Marzec¹,

Jaworska-Wilczyńska²,

Grobelny³

et al. 2020

kitp

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A gray zone in the literature: indications, options, and outcomes for surgical repair of pulmonary artery aneurysms

et al. 2021

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Pulmonary artery aneurysms are rare. They are characterised by an aneurysmatic dilatation of the pulmonary vascular bed, including the main pulmonary artery or the accompanying pulmonary artery branches. Increases in pulmonary flow and pulmonary artery pressure increase the risk of rupture: when these conditions are detected, surgical intervention is necessary. This study is a retrospective analysis of 33 patients treated in our paediatric cardiac surgery clinic from 2012 to 2020. Aneurysms and pseudoaneurysms in patients who were patched for right ventricular outflow tract reconstruction and corrected with a conduit were excluded from the study. Seventeen (51.5%) of the patients included in the study were female and 16 (48.5%) were male. The patients were aged between 23 and 61 years (mean 30.66 ± 12.72 years). Graft interpositions were performed in 10 patients (30.3%) and pulmonary artery plications were performed in 23 patients (69.7%) to repair aneurysms. There was no significant difference in mortality between the two groups (p > 0.05). Pulmonary artery aneurysm interventions are safe, life-saving treatments that prevent fatal complications such as ruptures, but at present there is no clear guidance regarding surgical timing or treatment strategies. Pulmonary artery interventions should be performed in symptomatic patients with dilations ≥5 cm or asymptomatic patients with dilations ≥8 cm; pulmonary artery pressure, right ventricular systolic pressure, and pulmonary artery aneurysm diameter must be considered when planning surgeries, their timing, and making decisions regarding indications. Experienced surgical teams can achieve satisfactory results using one of the following surgical techniques: reduction pulmonary arterioplasty, plication, or graft replacement.

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Minimally Invasive Pulmonary Artery Aneurysm Repair Through a Left Anterior Minithoracotomy—an Alternative Approach

Cited by 2 publications

References 11 publications

Pulmonary artery aneurysm as a result of group 2 pulmonary artery hypertension in a patient with significant mitral and aortic valve disease – review and case report

Pulmonary artery aneurysm as a result of group 2 pulmonary artery hypertension in a patient with significant mitral and aortic valve disease – review and case report

A gray zone in the literature: indications, options, and outcomes for surgical repair of pulmonary artery aneurysms

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