Presentation
CONCLUSIONS: LMCA stenting appears to be a feasible and durable option in patients who present with angina because of compression by PAA. [ncbi.nlm.nih.gov]
Entire Body System
- Asymptomatic
Idiopathic PAA is generally asymptomatic and has an increased risk for dissection or rupture of the aneurysm. [ncbi.nlm.nih.gov]
Due to the patient's clinical history (asymptomatic, located in the pulmonary trunk, with no data indicating a high risk of rupture), it was decided to opt for a conservative approach to the aneurysm. [archbronconeumol.org]
It can be asymptomatic, being a chance finding in a chest x-ray as in our patient. [revespcardiol.org]
Respiratoric
- Hemoptysis
Hemoptysis ceased for 4 months, and then he experienced three episodes of massive hemoptysis in one week. Emergency right pneumonectomy had to be performed. [atm.amegroups.com]
Intravenous administration of antibiotics and thoracic drainage successfully controlled the infection and inflammation until day 16, when the patient began to exhibit hemoptysis and bloody pleural effusion. [ncbi.nlm.nih.gov]
- Cough
Idiopathic pulmonary artery aneurysm rupture was diagnosed in a 79-year-old man who presented with a dry cough. [ncbi.nlm.nih.gov]
Comment According to the descriptive card, the patient was a 21 year-old man who died “from exhaustion” following hemoptysis (coughing up blood). (Additional details given by Osler in his autopsy protocol 710 are lost). [mcgill.ca]
Full Text We present the case of a 77-year-old patient with a history of hypertension and glaucoma, who was admitted to our hospital for symptoms of dyspnea at rest, with no cough or expectoration. [archbronconeumol.org]
- Dry Cough
Idiopathic pulmonary artery aneurysm rupture was diagnosed in a 79-year-old man who presented with a dry cough. [ncbi.nlm.nih.gov]
The patient reported the onset of dry cough, weight loss, fever, hyporexia, adynamia and some episodes of hemoptysis for two months. Later, he presented progressive dyspnea. [rb.org.br]
Cardiovascular
- Chest Pain
Abstract We report a pulmonary artery (PA) aneurysm associated with severe aortic stenosis and an aortic root dilatation occurring in a 59-year-old woman who presented with dyspnoea and chest pain. [ncbi.nlm.nih.gov]
His complaints of chest and back pain suggested coronary ischemia due to the PAA pressure. Medical treatment is recommended to improve clinical symptoms and findings of PAAs. [tgkdc.dergisi.org]
Full Text A 47-year-old man with no medical history presented to the emergency department complaining of severe sharp chest pain 3 h lasting, exacerbated with deep inspiration and accompanied by increasing dyspnea. [elsevier.es]
She presented with a 6-month history of dyspnea on exertion (New York Heart Association Class II, NYHA II) without dizziness, syncope, or chest pain. [heartviews.org]
- Vascular Disease
You are more likely to have vascular disease as you get older. [icdlist.com]
Pulmonary vascular diseases Pascal 002 Biological and medical sciences / 002B Medical sciences / 002B12 Cardiology. Vascular system / 002B12A Heart / 002B12A07 Chronic cor pulmonale Discipline Cardiology. [pascal-francis.inist.fr]
VASCULAR DISEASE MANAGEMENT 2015;12(12):E242-E246 Key words: pesudoaneurysm, endovascular therapy _____________________________________________________ Pulmonary artery aneurysms and pseudoaneurysms are uncommon and can be a serious cause of morbidity [vasculardiseasemanagement.com]
Many disorders, such as cutaneous small vessel vasculitis, inflammatory eye disease, neurological disease, vascular disease, arthritis, are associated with the presence of BD [6]. [emro.who.int]
- Systolic Murmur
On examination the patient was found to have a palpable systolic impulse at the second left intercostal space, a grade 3/6 systolic murmur and a 2/6 diastolic murmur at the lower and upper left sternal border, respectively. [heartviews.org]
Her physical examination showed that she was hemodynamically stable, with an increased breath rate of 22 breaths/minute and a left parasternal systolic murmur. [jmedicalcasereports.biomedcentral.com]
- Retrosternal Chest Pain
Clinical symptoms include severe dyspnea, retrosternal chest pain, central cyanosis, cardiogenic shock, and sudden death. [circ.ahajournals.org]
- Heart Murmur
If it does not close these patients come to attention either with a murmur or later with pulmonary hypertension. On the left a young adult with a murmur. [radiologyassistant.nl]
Workup
Biopsy
- Liver Biopsy
She was subsequently referred to our institution for heart-lung transplantation but was felt to be at unacceptably high risk given the complexity of her anatomy, imaging suggesting liver cirrhosis and liver biopsy with extensive fibrosis. [ncbi.nlm.nih.gov]
Treatment
Due to a positive vasoreactivity test, treatment with calcium channel blockers was started with near normalization of the right cardiac pressures. [ncbi.nlm.nih.gov]
Endovascular treatment can be an effective approach in the treatment of mycotic pseudoaneurysms and avoid the morbidity associated with more invasive surgery. [vasculardiseasemanagement.com]
Nonetheless, there is no clear consensus on the surgical treatment for a PAA. [tgkdc.dergisi.org]
Prognosis
We also discuss the natural history, prognosis and management of PA aneurysms. [ncbi.nlm.nih.gov]
In this report the causes of that rare lesion and the prognosis of pneumonectomy in infancy are reviewed. Received October 23, 1978. Accepted May 29, 1979. [pediatrics.aappublications.org]
The prognosis is determined by the involvement of the cardiovascular, gastrointestinal and central nervous systems(2). [rb.org.br]
Pulmonary artery aneurysm (PAA) is the most lethal complication of the disease and suggests a poor prognosis. The mean survival after the onset of hemoptysis was reported to be about 10 months ( 1 ). [atm.amegroups.com]
Etiology
A review of the literature in regards to incidence, etiology, clinical manifestations and treatment options is included. [ncbi.nlm.nih.gov]
Neck and chest CT scan utility to identify the etiology of a vocal cord paralysis has been widely reported [ 2 ]. [clinmedjournals.org]
Pathophysiology
Pulmonary Artery Aneurysm as a Clue to Behcet’s Disease in a 7-Year-Old Boy Abstract Pulmonary artery aneurysm is a rare entity with a wide variety of underlying pathophysiological mechanisms. [theijcp.org]
Discussion A structural collagen tissue disorder or infection, thinning/weakening of the pulmonary artery wall due to chronic inflammation, wall tension created by degeneration, and chronic pressure/volume overload have been suggested to create the basic pathophysiological [tgkdc.dergisi.org]
[…] aneurysms. 4 Low-pressure aneurysms seem to have a better prognosis than hypertensive aneurysms. 4 Chronic pulmonary embolism is a relatively common cause of PAAs, 3 such aneurysms present mural thickening, webs, and intramural thrombi that can calcify. 1 Pathophysiological [elsevier.es]
Increased PA pressure is common and natural pathophysiology in severe mitral stenosis but aneurysmal dilatation is very rare. Here we present a case with giant pulmonary artery aneurysm which was diagnosed intra-operatively. [casereports.in]
non-infective causes of PA aneurysms have become more common. [4] With the technological advances in medicine, PA aneurysms have been diagnosed in living patients by 2D-echocardiography, computed tomography, and magnetic resonance imaging. [5] The pathophysiology [heartviews.org]
Prevention
We performed a novel surgical repair of a 67-mm PAA consisting of internal plication of the pulmonary artery to reduce the diameter and approximation of remnant unfolding pulmonary artery to reinforce the stability of the pulmonary artery and prevent [ncbi.nlm.nih.gov]