Pulmonary mucormycosis causing a mycotic pulmonary artery aneurysm

2021 ◽  
pp. 021849232199849
Author(s):  
Richard Saldanha ◽  
Ravi Ghatanatti ◽  
Mohan D Gan ◽  
Kiran Kurkure ◽  
Gautam Suresh ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Artery Aneurysm ◽  
High Morbidity ◽  
Pulmonary Artery Aneurysm ◽  
Pulmonary Mucormycosis ◽  
Pulmonary Angiogram ◽  
Ct Pulmonary Angiogram ◽  
Pulmonary Artery Aneurysms ◽  
The Right ◽  
Very High

Mycotic pulmonary artery aneurysms requiring pneumonectomy are extremely rare. We present a severely breathless immunocompromised diabetic middle-aged female patient. CT pulmonary angiogram revealed a giant pulmonary artery aneurysm with impending rupture in the right lung. We did an emergency right pneumonectomy under cardiopulmonary bypass support. Histopathology report of the lung specimen confirmed mucormycosis. She received amphotericin B after the procedure. The patient had a prolonged postoperative hospital stay and succumbed to sepsis. Mycotic pulmonary artery aneurysm portends very high morbidity and mortality in immunocompromised patients.

scholarly journals Pulmonary Thromboembolism in a Child with Sickle Cell Hemoglobin D Disease in the Setting of Acute Chest Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Hazel Villanueva ◽  
Sandeepkumar Kuril ◽  
Jennifer Krajewski ◽  
Aziza Sedrak
Keyword(s):  
Pulmonary Artery ◽  
Sickle Cell ◽  
Pulmonary Thromboembolism ◽  
Acute Chest Syndrome ◽  
Standard Management ◽  
Pulmonary Angiogram ◽  
Right Pulmonary Artery ◽  
Ct Pulmonary Angiogram ◽  
Complete Thrombosis ◽  
The Right

Introduction. Sickle cell hemoglobin D disease (HbSD) is a rare variant of sickle cell disease (SCD). Incidence of pulmonary thromboembolism (PE) and deep venous thrombosis (DVT) in children with HbSD is unknown. PE and DVT are known complications of SCD in adults but have not been reported in the literature in children with HbSD.Case Report. We are reporting a case of a 12-year-old boy with HbSD with acute chest syndrome (ACS) complicated by complete thrombosis of the branch of the right pulmonary artery and multiple small pulmonary artery emboli seen on computed tomography (CT) pulmonary angiogram and thrombosis of the right brachial vein seen on Doppler ultrasound. Our patient responded to treatment with anticoagulant therapy.Conclusion. There are no cases reported in children with HbSD disease presenting as ACS with pulmonary thromboembolism. We suggest that PE should be suspected in patients presenting with ACS who do not show improvement with standard management. CT pulmonary angiogram should be utilized for early diagnosis and appropriate management as there is no current protocol for management of PE/DVT in pediatric patients with SCD.

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

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.

scholarly journals P255 A fall from the tractor: a case report

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Habjan ◽  
D Cantisani ◽  
I S Scarfo` ◽  
V Avitabile ◽  
F Romeo ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Transesophageal Echocardiography ◽  
Pulmonary Valve ◽  
Interventricular Septum ◽  
Artery Aneurysm ◽  
Left Pulmonary Artery ◽  
Pulmonary Trunk ◽  
Systolic Pulmonary Artery Pressure ◽  
Pulmonary Artery Aneurysm ◽  
The Right

Abstract Introduction Pulmonary artery aneurysms (PAAs) are rare and infrequently diagnosed clinical conditions. They can have congenital, acquired or idiopathic causes. PAAs can be asymptomatic or present with non-specific manifestations even at large diameters up to 70 mm. Rupture and dissection are the main life threating complications. The optimal treatment remains uncertain. There are no clear guidelines regarding the therapeutical approach. Case presentation A 78-year-old male presented at our medical facility to investigate further a pulmonary artery aneurysm discovered accidentally after a traumatic fall from a farmer tractor. He had no important chronic diseases, but in his medical history it was reported that he was excluded from the military service on top of a cardiac murmur, never investigated with an echocardiography exam. The fall from the tractor caused a fracture of the second and third costal ribs with hematoma and a commotional cranial trauma. At the thoraco-abdominal computed tomography (CT) scan conducted after the fall emerged an important fusiform dilatation of the principal pulmonary trunk and the left pulmonary artery (3.8 cm and 5 cm respectively). There was also a mild dilatation of the right pulmonary artery (3 cm), thickening of the pulmonary valve cusps and dilatation of the right cardiac chambers with flattening of the interventricular septum. Pulmonary embolism was excluded. Transthoracic and transesophageal echocardiography revealed a dysplastic pulmonary valve, with thickened cusps and moderate stenosis with insufficiency. The jet of the right ventricular outflow tract was eccentric with an anterolateral direction and a correlated dilatation of the common pulmonary trunk (3.8 cm) and the left pulmonary artery (5 cm). The right ventricle appeared not dilated and the tricuspid regurgitation was mild with a normal systolic pulmonary artery pressure. The dilated pulmonary artery did not interfere with the flow in the left main coronary artery. We concluded that the pulmonary artery aneurysm was mainly due to the congenital pulmonary valvulopathy. The patient underwent successful pulmonary trunk, left pulmonary artery and pulmonary valve replacement with a bioprosthetic valved conduit. Conclusion Congenital pulmonary valvulopathy can remain clinically silent lifelong and is commonly discovered during exams performed due to other clinical circumstances. The eccentric jet caused by the valvulopathy can be the reason for dilatation of the pulmonary trunk and pulmonary arteries. Transthoracic and transesophageal echocardiography are competent tools for clarifying the cause of the pulmonary artery aneurysm and therefore are essential in the decision making regarding the treatment strategy. Abstract P255 Figure. Transesophageal echocardiography images

scholarly journals Rare and interesting case of solitary peripheral pulmonary artery aneurysm

2021 ◽  
Author(s):  
Madhusudana Narayana ◽  
Nagesh Basavaraj ◽  
Smitha Nagaraju ◽  
Jagmohan Sugnyanasagar Venkataramanappa
Keyword(s):  
Pulmonary Artery ◽  
Rare Case ◽  
Artery Aneurysm ◽  
Interesting Case ◽  
Pulmonary Artery Aneurysm ◽  
Pertinent Literature ◽  
Lower Lobectomy ◽  
Pulmonary Artery Aneurysms ◽  
Infection Patient ◽  
Right Lower Lobectomy

Abstract We report a rare case of solitary peripheral pulmonary artery aneurysm in a patient who was evaluated for haemoptysis. Incidentally, his total antibodies were positive for Coronavirus 2019 infection. Patient underwent right lower lobectomy uneventfully. Peripheral pulmonary artery aneurysms arising from segmental or intrapulmonary branches are extremely rare. Untreated, the majority end fatally due to sudden rupture and exsanguination. The purpose of this article is to report our rare case and review the pertinent literature.

scholarly journals Succesfull management of a giant pulmonary artery aneurysm associated with severe congenital pulmonary valve stenosis in an adult patient

2020 ◽  
Vol 30 (1) ◽  
pp. 78-83
Author(s):  
Raluca Sosdean ◽  
Adina Ionac ◽  
Alina Stan ◽  
Sorin Pescariu ◽  
Adrian Ursulescu
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Circulation ◽  
Pulmonary Valve ◽  
Artery Aneurysm ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Pulmonary Artery Aneurysm ◽  
Pulmonary Valve Stenosis ◽  
Therapeutic Implications ◽  
The Right

Pulmonary artery aneurysms are rare entities usually associated with congenital anomalies that increase blood flow/pressure in the pulmonary circulation, like left to right shunts and/or severe pulmonary valve pathologies. Clear re-commendations about their management are lacking. We report on a case of severe congenital pulmonary valve stenosis associated with a giant pulmonary artery aneurysm, secondary right ventricular outflow tract obstruction and right to left atrial shunt. We discuss the diagnostic pathway, therapeutic approach and patient evolution. The case report proves that a complete imaging of the heart and blood vessels is mandatory with severe pulmonary valve stenosis, in order to better describe its repercussions on the right ventricle and pulmonary circulation. They might be under detected by simple tran-sthoracic echocardiography but their presence has important therapeutic implications.

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

2019 ◽  
Vol 30 (1) ◽  
pp. 159-160
Author(s):  
Davide Carino ◽  
Nikita Mehta ◽  
Alejandro Fernández-Cisneros ◽  
Daniel Pereda
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Valve ◽  
Pulmonary Regurgitation ◽  
Significant Risk ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm ◽  
Risk Of Rupture ◽  
Aneurysm Resection ◽  
Pulmonary Valve Regurgitation ◽  
Pulmonary Artery Aneurysms

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.

scholarly journals Pulmonary artery aneurysm secondary to congenital pulmonic valve stenosis

2017 ◽  
Vol 5 (21) ◽  
pp. 32
Author(s):  
Audra Schwalk ◽  
Gilbert Berdine
Keyword(s):  
Pulmonary Artery ◽  
Standard Treatment ◽  
Artery Aneurysm ◽  
Close Monitoring ◽  
Pulmonary Artery Aneurysm ◽  
Pulmonic Valve ◽  
Pulmonary Artery Aneurysms ◽  
Work Up ◽  
Aorta Diameter ◽  
Pulmonary Artery Diameter

Pulmonary artery (PA) aneurysms are uncommon and often diagnosed post-mortem. Theyare characterized by a PA/aorta diameter ratio greater than 2 on transthoracic echocardiographyor a pulmonary artery diameter greater than 4 or 5 cm on computed tomography. The mostcommon conditions associated with pulmonary artery aneurysm are congenital heart defectswith left-to-right shunts and pulmonic valve abnormalities. There are also numerous causesof acquired pulmonary artery aneurysms, including infection, vasculitis, pulmonary arterialhypertension, trauma, neoplasm and pulmonary embolism. Symptoms of PA aneurysm areusually non-specific, and physical examination findings are variable depending on the underlyingcause. Work-up includes various imaging modalities, transthoracic echocardiography, and rightheart catheterization. The gold standard treatment is surgery, but in select patients, conservativemanagement with close monitoring can be pursued.

scholarly journals Huge Pulmonary Artery Aneurysm

2009 ◽  
Vol 16 (3) ◽  
pp. 93-95 ◽  
Author(s):  
Aiman M Hammad ◽  
Sultan M Al-Qahtani ◽  
Mohammed A Al-Zahrani
Keyword(s):  
Congenital Heart Disease ◽  
Pulmonary Artery ◽  
Congenital Heart ◽  
Artery Aneurysm ◽  
Transcatheter Embolization ◽  
Ocular Involvement ◽  
Pulmonary Artery Aneurysm ◽  
Multisystem Disorder ◽  
Common Causes ◽  
Pulmonary Artery Aneurysms

Pulmonary artery aneurysms (PAAs) are uncommon entities. PAAs are caused mostly by trauma (often iatrogenic), infections and Behcet’s disease (BD). Less common causes are pulmonary hypertension, congenital heart disease and neoplasm. BD is a multisystem disorder presenting with recurrent oral and genital ulcerations, as well as ocular involvement, and PAA is one of its rare complications. A case of huge PAA, in which the usual criteria for the clinical diagnosis of BD were present, is described. Transcatheter embolization resulted in clinical improvement.

scholarly journals Pulmonary artery aneurysm associated with a non-stenotic bicuspid pulmonic valve: a role for genetics?

2021 ◽  
Author(s):  
Sophia Alexis ◽  
Ismail El-Hamamsy ◽  
Michael Robbins
Keyword(s):  
Pulmonary Artery ◽  
Artery Aneurysm ◽  
Vascular Wall ◽  
Aortic Aneurysms ◽  
Pulmonary Artery Aneurysm ◽  
Aortic Valves ◽  
Pulmonic Valve ◽  
Thoracic Aortic Aneurysms ◽  
Pulmonary Artery Aneurysms ◽  
The Relationship

Background Bicuspid pulmonic valves are quite uncommon, being described in only 0.1% of donor hearts, while pulmonary artery aneurysms are even more rare, having been found in 8 out of 109,571 autopsies. This rarity makes it difficult to characterize the relationship between them. Materials & Methods We describe the case of a 66-year-old female who was found to have a bicuspid pulmonic valve and pulmonary artery aneurysm (5.1cm) on imaging by her cardiologist. Discussion & Conclusion This case raises the question of whether the association between bicuspid semilunar valve disease and vascular wall anomalies are more genetic or hemodynamic. Even on the aortic side, despite the robust association between bicuspid aortic valves and thoracic aortic aneurysms, the mechanism still remains unclear. In our patient there was no significant gradient across the bicuspid pulmonic valve, suggesting that hemodynamics are not the primum mobile of this association.

Sign in / Sign up

Export Citation Format

Share Document