Giant pulmonary artery aneurysm in a patient with vasoreactive pulmonary hypertension: a case report [artículo]
Por: Cortina Romero, José María [Cirugía Cardiovascular]
| Delgado Jiménez, Juan Francisco [Cardiología] | Escribano Subías, Pilar [Cardiología] | Jiménez López-Guarch, Carmen [Cardiología] | López Gude, María Jesús [Cirugía Cardiovascular] | Ruiz Cano, María José [Cardiología] | Sánchez Nistal, María Antonia [Radiodiagnóstico].
Colaborador(es): Servicio de Cardiología | Servicio de Cirugía Cardiovascular | Servicio de Radiodiagnóstico.
Editor: BMC Cardiovascular Disorders, 2011Descripción: 11:64.Recursos en línea: Solicitar documento Resumen: Pulmonary artery aneurysms are a rare condition, frequently associated with pulmonary hypertension. However, the evolution and treatment of this pathology is still not clear. Case Presentation: The authors report a case of a 65-year old patient with pulmonary artery aneurysm associated with pulmonary arterial hypertension. Due to a positive vasoreactivity test, treatment with calcium channel blockers was started with near normalization of the right cardiac pressures. Nevertheless, after 20 months of treatment, the pulmonary artery aneurysm size remained unchanged with an associated severe pulmonary regurgitation and causing extrinsic compression of the main left coronary artery. Surgical correction was successfully performed. Conclusions: This is the first case report of a pulmonary artery aneurysm described to be associated with vasoreactive pulmonary hypertension in a living patient. Although medical therapy for pulmonary hypertension was started, surgical correction of the aneurysm was executed in order to prevent its future complications.
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Formato Vancouver:
Araújo I, Escribano P, Lopez-Gude MJ, Lopez-Guarch CJ, Sanchez MA, Ruiz-Cano MJ, et al. Giant pulmonary artery aneurysm in a patient with vasoreactive pulmonary hypertension: a case report. BMC Cardiovasc Disord. 2011;11:64.
PMID: 22018102
Contiene 11 referencias.
Pulmonary artery aneurysms are a rare condition, frequently associated with pulmonary hypertension. However, the evolution and treatment of this pathology is still not clear. Case Presentation: The authors report a case of a 65-year old patient with pulmonary artery aneurysm associated with pulmonary arterial hypertension. Due to a positive vasoreactivity test, treatment with calcium channel blockers was started with near normalization of the right cardiac pressures. Nevertheless, after 20 months of treatment, the pulmonary artery aneurysm size remained unchanged with an associated severe pulmonary regurgitation and causing extrinsic compression of the main left coronary artery. Surgical correction was successfully performed. Conclusions: This is the first case report of a pulmonary artery aneurysm described to be associated with vasoreactive pulmonary hypertension in a living patient. Although medical therapy for pulmonary hypertension was started, surgical correction of the aneurysm was executed in order to prevent its future complications.
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