Rupture of pulmonary artery aneurysm associated with persistent ductus arteriosus.

Coleman, Mae M.; Slater, David; Bell, Rachel E.

doi:10.1136/hrt.44.4.464

Cited by 17 publications

(9 citation statements)

References 4 publications

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“…Histologic examinations of such patients have also shown that cystic medial necrosis was a prominent feature. 3,4 In our patient, there was a continuous murmur on physical examination. Two-dimensional echocardiography revealed continuous left-to-right shunt from aorta to PA, with a significant pressure gradient (maximum Doppler measured velocity of the ductal jet in systole was 5 m/s), which indicates that there was no significant pulmonary arterial hypertension.…”

Section: Discussionmentioning

confidence: 90%

Pulmonary Artery Aneurysm With Patent Arterial Duct

Tefera

Teodori

2013

World J Pediatr Congenit Heart Surg

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Congenital or acquired aneurysm of the pulmonary artery (PA) is rare. Although aneurysms are described following surgical treatment of patent ductus arteriosus (PDA), occurrence of this lesion in association with PDA without previous surgery is extremely uncommon. An eight-year-old patient with PDA and aneurysm of the main PA is described in this report. Clinical diagnosis of PDA was made upon presentation. Diagnosis of PA aneurysm was suspected on chest x-ray and was confirmed on transthoracic echocardiography. Successful surgical resection of the aneurysm and division of the duct were performed under cardiopulmonary bypass. The patient did well on follow-up both from clinical and echocardiographic point of view.

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Section: Discussionmentioning

confidence: 90%

Pulmonary Artery Aneurysm With Patent Arterial Duct

Tefera

Teodori

2013

World J Pediatr Congenit Heart Surg

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“…In most cases of patent ductus arteriosus, the flow of blood from the aorta to the pulmonary artery ranges from 2 to 10 L/min, resulting in a total pulmonary blood flow of 6 to 15 L/min [9]. Although mild dilatation of the pulmonary artery is often observed in cases of patent ductus arteriosus, true aneurysm occurs in only 15% of cases, and may be due to the combined effects of pulmonary hypertension and other contributing factors, such as atheromatous disease, endocarditis, and tuberculosis [12].…”

Section: Discussionmentioning

confidence: 98%

A full house: Complications from an uncorrected patent ductus arteriosus

Khush

Randhawa²,

Israel³

2005

Curr Cardiol Rep

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True aneurysms of the pulmonary artery are rare, and are most often due to pulmonary hypertension arising from congenital heart defects. We report the case of a 40-year-old man with an uncorrected patent ductus arteriosus who presented with pulmonary infarction and pneumonia, and subsequently died of cardiac arrest. Autopsy revealed a large pulmonary artery aneurysm, in situ pulmonary artery thrombosis complicated by pulmonary infarction, pulmonary artery dissection, and cardiac tamponade. Although each of these complications is rare in and of itself, this case demonstrates the entire spectrum of complications from a single uncorrected congenital cardiac anomaly.

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“…In this patient, the cause of death was rupture of the wall of a pulmonary artery aneurysm, which demonstrated severe cystic medial necrosis and elastin fragmentation attributable to the pulmonary hypertension (4)(5)(6)(7). The most interesting finding in this case was the arteriosclerosis involving the descending thoracic and abdominal aortas.…”

Section: Discussionmentioning

confidence: 99%

Marked Arteriosclerosis of the Descending Aorta in a Teenager with Interruption of the Aorta.

et al. 1996

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Marked arteriosclerosislocalized to the descending thoracic and abdominal aorta was observed in a 19-year-old girl with interruption of the aorta (type A) and a ventricular septal defect. She died from rupture of saccular aneurysm of the pulmonary trunk. The descending thoracic and abdominal aorta showed marked thrombogenic, lamellar thickening of the intima. In contrast, no significant arteriosclerosis was detected in the ascending aorta. Several factors including diffuse sludging of blood, mural thrombosis and hemodynamicchanges, in close association with polycythemia, are hypothesized to be causative factors in the development of this lesion.

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Rupture of pulmonary artery aneurysm associated with persistent ductus arteriosus.

Cited by 17 publications

References 4 publications

Pulmonary Artery Aneurysm With Patent Arterial Duct

Pulmonary Artery Aneurysm With Patent Arterial Duct

A full house: Complications from an uncorrected patent ductus arteriosus

Marked Arteriosclerosis of the Descending Aorta in a Teenager with Interruption of the Aorta.

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