Rupture of congenital peripheral pulmonary aneurysm

Peripheral Mycotic Pulmonary Artery Aneurysms

“…The first rule in treatment should be to correct any underlying etiologic factors that can be addressed (e.g., infection should be treated; PDA and other congenital abnormalities amenable to surgery should be corrected) . Secondly, taking the rupture possibility into consideration, many have suggested aggressive management for all MPAA patients …”

“…10 Secondly, taking the rupture possibility into consideration, many have suggested aggressive management for all MPAA patients. 2,11,12 The surgical resection is the mainstay for the treatment of MPAAs, and it depends on the location and number of the MPAAs and on the clinical situation (such as hemoptysis or sepsis). 3 For proximal (main pulmonary trunk or main pulmonary artery) MPAAs, aneurysmorrhaphy, 13 aneurysmectomy, 10 or pericardium patch closure 14 are recommended, and pneumonectomy is an alternative.…”

A surgically treated pulmonary sclerosing haemangioma that clinically and radiologically mimicked a thrombosed pulmonary artery aneurysm

“…In our case, unacceptable medical treatment was a factor for surgical intervention. Second, Veldtman et al 4 showed that conservative treatment for pulmonary artery aneurysm may be advocated when the patient has no symptoms and there are no associated congenital lesions, no right ventricular dysfunction and no significant pulmonary arterial hypertension or left to right shunt; however, Fukai et al 5 showed that once pulmonary artery aneurysm has been diagnosed, surgical resection should be considered because of a possible fatal outcome such as rupture of the aneurysm. Moreover, Steireif et al 6 showed a cut-off diameter of the aneurysm, indicating an increasing risk for complications, such as dissection or rupture, has not been defined yet, and surgical intervention is inevitable for aneurysms exceeding double the size of the peripheral pulmonary artery.…”

Main pulmonary artery aneurysm

“…They are mainly caused by primary or secondary pulmonary hypertension [9], chronic pulmonary embolism, or pulmonary valve stenosis [10]. Furthermore, they can be associated with systemic disorders, such as Behçet's syndrome [11], Osler's disease or Marfan syndrome [8], or with other congenital [12] and acquired cardiovascular diseases [13]. Other causes include infections [8] Idiopathic main pulmonary artery aneurysm has been also described [6] The clinical manifestations are often non-specific and possible symptoms include hemoptysis, dyspnea, chest pain, and cough [8].We present a case of main pulmonary artery aneurysm in a 78-year-old Italian woman.…”