Management of Pulmonary Artery Aneurysms in Pulmonary Hypertension: A Single-Center Review of 3 Cases

Pulmonary artery aneurysms (PAAs) are defined as having pulmonary artery diameter of greater than 40 mm. PAAs are rare and can occur in various pulmonary diseases. There are no clear-cut guidelines regarding the management of PAAs, and recommendations for management are made based on expert consensus opinion, case reports, and institutional experience. This series highlights three patients with pulmonary hypertension (PH) and PAA. The clinical course and diagnostic findings and the decision-making involved in the treatment are reviewed. An overview of three distinct management strategies including medical management, heart/lung transplant, and surgical aneurysm repair is presented.

[1]  K. Ejiri,et al.  Improvement of lung function and pulmonary hypertension after pulmonary aneurysm repair: case series , 2019, Pulmonary Circulation.

[2]  J. Roos‐Hesselink,et al.  Aneurysm of the Pulmonary Artery, a Systematic Review and Critical Analysis of Current Literature. , 2016, Congenital heart disease.

[3]  H. Shin,et al.  Novel Pulmonary Artery Reduction Plasty for Pulmonary Artery Aneurysm With Pulmonary Arterial Hypertension , 2016, World journal for pediatric & congenital heart surgery.

[4]  M. Siepe,et al.  Aneurysms of the Pulmonary Artery , 2015, Circulation.

[5]  Y. Weerakkody,et al.  Pulmonary arterial aneurysm , 2013, Radiopaedia.org.

[6]  N. Westerhof,et al.  Progressive dilatation of the main pulmonary artery is a characteristic of pulmonary arterial hypertension and is not related to changes in pressure. , 2010, Chest.

[7]  M. Vural,et al.  [Thrombosed giant proximal pulmonary artery aneurysm]. , 2009, Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir.

[8]  A. Mclarty,et al.  Idiopathic Pulmonary Artery Aneurysm , 2007, The Thoracic and cardiovascular surgeon.

[9]  K. Zehr,et al.  Idiopathic pulmonary artery aneurysm. , 2005, The Annals of thoracic surgery.

[10]  P. Wunderbaldinger,et al.  Rupture and dissection in pulmonary artery aneurysms: incidence, cause, and treatment--review and case report. , 2001, The Journal of thoracic and cardiovascular surgery.

[11]  J. Edwards,et al.  Pulmonary arterial aneurysm. A pathologic study of five cases. , 1987, Chest.

[12]  P. Wood.  The Eisenmenger Syndrome , 1958 .

[13]  W. Hager,et al.  and s , 2019, Shallow Water Hydraulics.

[14]  S. Niang,et al.  [Aneurysm of the pulmonary artery]. , 2018, Revue de pneumologie clinique.

[15]  M. Sakuma,et al.  Proximal pulmonary artery aneurysms in patients with pulmonary artery hypertension: complicated cases. , 2007, Internal medicine.

[16]  P. Wood.  The Eisenmenger syndrome or pulmonary hypertension with reversed central shunt. I. , 1958, British medical journal.