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Case Reports
. 2021 Aug 31;32(4):312-315.
doi: 10.1055/s-0041-1732435. eCollection 2023 Dec.

Management of Giant Pulmonary Artery Aneurysm with Quadricuspid Valve Stenosis

Veronica Lorenz  1 , Andrea Gambacciani  1 , Susanna Guerrini  2 , Mazzei Francesco Giuseppe  2 , Montesi Gianfranco  1 , Alessio Mattesini  3
Affiliations
Case Reports

Management of Giant Pulmonary Artery Aneurysm with Quadricuspid Valve Stenosis

Veronica Lorenz et al. Int J Angiol. .

Abstract

The pulmonary artery aneurysm (PAA) is a rare disease with no well-defined guidelines about the diagnostic criteria and its management. In fact, the indications for surgical treatment and the type of surgical approach are not clear. However, in case of giant PAAs with hypertension and pulmonary valve abnormalities, surgery should be considered as an effective and safe approach to prevent dissections or ruptures. In this report, we describe a successful case of surgical repair, using a Bioconduit with a pericardial patch to recreate the pulmonary artery bifurcation in a 72-year-old male with aneurysm of the pulmonary artery (max diameter: 72 mm), associated with quadricuspid pulmonary valve stenosis and pulmonary hypertension. The procedure was uncomplicated and the follow-up computed tomography scan at 4 months showed correct positioning of the graft with no sign of contrast leakage.

Keywords: CT; aneurysm; cardiac surgery; cardiopulmonary bypass; pulmonary hypertension; pulmonary valve; valve stenosis.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Preoperative computed tomography scan axial view ( A ) and three-dimensional reconstruction ( B ). The dilatation of the main pulmonary artery involving mostly left pulmonary branch.
Fig. 2
Fig. 2
The intimal tear ( A ) and the quadricuspid pulmonary valve ( B ).
Fig. 3
Fig. 3
The pulmonary artery aneurysm ( A ) and the result after the surgical treatment ( B ).
Fig. 4
Fig. 4
Four months after surgery, computed tomography scan with three-dimensional ( A ) and oblique reconstruction ( B ) shows correct positioning of the graft with no sign of contrast leakage.
See this image and copyright information in PMC

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