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
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]
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]
The most common manifestation of rupture is hemoptysis and it is often massive, with mortality in up to 50% of patients. 5 In the evaluation of hemoptysis, CT angiography is an invaluable tool to detect the cause and in the planning of treatment. [vasculardiseasemanagement.com]
The massive hemoptysis resulting in death may be rupture of the main aneurysm to related bronchus. [kjim.org]
- 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]
The age of onset in our patient is higher than the 25 years associated with poor prognosis, however, the gender as well as the evidence of pulmonary artery aneurysm has been associated with high mortality and morbidity [1]. [medcraveonline.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]