Idiopathic Asymptomatic Aneurysms of Pulmonary Artery and Ascending Aort: A Case Report

Mihriban Yalcin

doi:10.11648/j.ijcts.20170306.13

Abstract

The dilatation of pulmonary artery is a rare condition and called as pulmonary artery aneurysm. Aneurysm of both the pulmonary trunk and the ascending aorta is even rarer. Symptoms are due to aneurysm compression in adjacent anatomical structures. The main indicator of treatment is the pulmonary artery pressure. The prognosis and treatment of pulmonary artery aneurysm is unclear. Herein we present a case of a main pulmonary artery and ascending aortic aneurysms without underlying pathology. Because our case was asymptomatic, without a initiative cardiac lesion and/or pulmonary hypertension; we decided to follow-up him without operation and he was stable at 24-month follow-up.

Highlights

It has been described for about a hundred years and many definitions have been defined
Pulmonary artery aneurysm (PAA) is a morphological abnormality which is characterized by focal dilatation of the vessel involving all three layers of the vessel wall
We report our experience of one main pulmonary artery and ascending aortic aneurysms with no underlying pathology case

Summary

Introduction

It has been described for about a hundred years and many definitions have been defined. Pulmonary artery aneurysm (PAA) is a morphological abnormality which is characterized by focal dilatation of the vessel involving all three layers of the vessel wall. PAA is defined by a diameter of the pulmonary artery greater than 4 cm. [1] If an aneurysm does not involve all layers of the arterial wall it is called as pseudoaneurysm. There is no consensus in the literature on the treatment of PAA. Aneurysm of both the pulmonary trunk and the ascending aorta is very rare. We report our experience of one main pulmonary artery and ascending aortic aneurysms with no underlying pathology case. CT scan revealed that the ascending aorta dilatation was 50 mm and the pulmonary trunk dilatation was 52 mm. CT scan revealed that the ascending aorta dilatation was 50 mm and the pulmonary trunk dilatation was 52 mm. (Figure 1)

Case Report

Discussion

Findings

Conclusion