Surgical correction of a pulmonary artery aneurysm with severe pulmonary regurgitation with a valve-sparing technique

Abstract Pulmonary artery aneurysms are rare but are associated with a significant risk of rupture and dissection. Moreover, pulmonary valve regurgitation and/or stenosis often coexist. In this study, we present a case of a pulmonary artery aneurysm with severe pulmonary regurgitation in a patient with pulmonary hypertension treated with aneurysm resection and pulmonary valve repair.

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Concomitant operation for pulmonary artery aneurysm and pulmonary valve regurgitation

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-020-01315-4 ◽

2020 ◽

Vol 68 (8) ◽

pp. 855-857 ◽

Cited By ~ 1

Author(s):

Yosuke Takahashi ◽

Toshihiko Shibata ◽

Masanori Sakaguchi ◽

Hiromichi Fujii ◽

Akimasa Morisaki ◽

...

Keyword(s):

Pulmonary Artery ◽

Pulmonary Valve ◽

Artery Aneurysm ◽

Pulmonary Artery Aneurysm ◽

Valve Regurgitation ◽

Pulmonary Valve Regurgitation ◽

Concomitant Operation

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A gray zone in the literature: indications, options, and outcomes for surgical repair of pulmonary artery aneurysms

Cardiology in the Young ◽

10.1017/s1047951121004807 ◽

2021 ◽

pp. 1-6

Author(s):

Ergin Arslanoglu ◽

Kenan Abdurrahman Kara ◽

Fatih Yigit ◽

Cüneyt Arkan ◽

Esra Ozcan ◽

...

Keyword(s):

Pulmonary Artery ◽

Right Ventricular ◽

Pulmonary Artery Pressure ◽

Main Pulmonary Artery ◽

Artery Aneurysm ◽

Pulmonary Artery Aneurysm ◽

Artery Pressure ◽

Risk Of Rupture ◽

Significant Difference ◽

Pulmonary Artery Aneurysms

Abstract Pulmonary artery aneurysms are rare. They are characterised by an aneurysmatic dilatation of the pulmonary vascular bed, including the main pulmonary artery or the accompanying pulmonary artery branches. Increases in pulmonary flow and pulmonary artery pressure increase the risk of rupture: when these conditions are detected, surgical intervention is necessary. This study is a retrospective analysis of 33 patients treated in our paediatric cardiac surgery clinic from 2012 to 2020. Aneurysms and pseudoaneurysms in patients who were patched for right ventricular outflow tract reconstruction and corrected with a conduit were excluded from the study. Seventeen (51.5%) of the patients included in the study were female and 16 (48.5%) were male. The patients were aged between 23 and 61 years (mean 30.66 ± 12.72 years). Graft interpositions were performed in 10 patients (30.3%) and pulmonary artery plications were performed in 23 patients (69.7%) to repair aneurysms. There was no significant difference in mortality between the two groups (p > 0.05). Pulmonary artery aneurysm interventions are safe, life-saving treatments that prevent fatal complications such as ruptures, but at present there is no clear guidance regarding surgical timing or treatment strategies. Pulmonary artery interventions should be performed in symptomatic patients with dilations ≥5 cm or asymptomatic patients with dilations ≥8 cm; pulmonary artery pressure, right ventricular systolic pressure, and pulmonary artery aneurysm diameter must be considered when planning surgeries, their timing, and making decisions regarding indications. Experienced surgical teams can achieve satisfactory results using one of the following surgical techniques: reduction pulmonary arterioplasty, plication, or graft replacement.

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Cardiovascular Magnetic Resonance Depiction of Quadricuspid Pulmonary Valve with Associated Pulmonary Regurgitation and Pulmonary Artery Aneurysm

Texas Heart Institute Journal ◽

10.14503/thij-12-2464 ◽

2014 ◽

Vol 41 (3) ◽

pp. 349-350 ◽

Cited By ~ 6

Author(s):

Roshni Shah ◽

Jabi Shriki ◽

Jerold S. Shinbane

Keyword(s):

Cardiovascular Magnetic Resonance ◽

Magnetic Resonance ◽

Pulmonary Artery ◽

Pulmonary Valve ◽

Pulmonary Regurgitation ◽

Artery Aneurysm ◽

Pulmonary Artery Aneurysm

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Isolated Idiopathic Pulmonary Artery Aneurysm

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000219 ◽

2002 ◽

Vol 10 (2) ◽

pp. 167-169 ◽

Cited By ~ 13

Author(s):

Saket Agarwal ◽

Ujjwal Kumar Chowdhury ◽

Anita Saxena ◽

Ruma Ray ◽

Sanjeev Sharma ◽

...

Keyword(s):

Natural History ◽

Pulmonary Artery ◽

Pulmonary Valve ◽

Main Pulmonary Artery ◽

Pulmonary Regurgitation ◽

Artery Aneurysm ◽

Saccular Aneurysm ◽

Pericardial Patch ◽

Pulmonary Artery Aneurysm

Aneurysm formation of the main pulmonary artery is rare. Its natural history is not well understood and there are no clear guidelines on optimal treatment. A 20-year-old woman with a huge saccular aneurysm of the main pulmonary artery, underwent repair with a pericardial patch and concomitant reconstruction of the pulmonary valve. The patient was doing well on follow-up at 6 months; echocardiography revealed a good repair with mild to moderate pulmonary regurgitation.

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