Idiopathic Pulmonary Artery Aneurysm: A Case Report

Article ID: e280422204212 Pages: 3

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Abstract

Background: Idiopathic pulmonary artery aneurysm is a rare disorder that has been reported in less than 50 cases. This complication is often asymptomatic, while the first manifestation can be severe hemoptysis or death.

Case Presentation: A 36-year-old man presented to our institute with hemoptysis and fever. Dilated pulmonary artery trunk (5.5 cm) and the left pulmonary artery branch (6.90 cm) were discovered during a computed tomography angiogram scan in the patient's chest region. Therefore, the patient was diagnosed with a pulmonary artery aneurysm. According to the results of the tests requested for the patient, the cause of the patient's pulmonary artery aneurysm was not determined. Therefore, an idiopathic pulmonary artery aneurysm was proposed for the patient.

Conclusion: Idiopathic pulmonary artery aneurysm poses a double diagnostic and therapeutic problem. The rarity of the disease, and the absence of specific clinical signs make diagnosis difficult.

Keywords: Pulmonary artery, idiopathic aneurysm, hemoptysis, left pulmonary artery branch, pulmonary artery trunk, idiopathic pulmonary artery aneurysm.

[1]
Fazlinejad A, Vojdanparast M, Jafarzadeh Esfehani R, Moosavi SS, Jalali P. Giant idiopathic pulmonary artery aneurysm: An interesting incidental finding. Case Rep Vasc Med 2014; 2014251373
[http://dx.doi.org/10.1155/2014/251373] [PMID: 24744953]
[2]
Araújo I, Escribano P, Lopez-Gude MJ, et al. Giant pulmonary artery aneurysm in a patient with vasoreactive pulmonary hypertension: A case report. BMC Cardiovasc Disord 2011; 11(1): 64.
[http://dx.doi.org/10.1186/1471-2261-11-64] [PMID: 22018102]
[3]
Muthialu N, Raju V, Muthubaskaran V, Chandrasekar P, Muralidharan S, Kuppanna PJ. Idiopathic pulmonary artery aneurysm with pulmonary regurgitation. Ann Thorac Surg 2010; 90(6): 2049-51.
[http://dx.doi.org/10.1016/j.athoracsur.2010.05.071] [PMID: 21095366]
[4]
Haj-Yahia S, Sbaih M, Bali K, et al. Case report and management approach in idiopathic pulmonary arteries aneurysm. J Cardiothorac Surg 2018; 13(1): 110.
[http://dx.doi.org/10.1186/s13019-018-0791-9] [PMID: 30367655]
[5]
Serasli E, Antoniadou M, Steiropoulos P, et al. Low-pressure pulmonary artery aneurysm presenting with pulmonary embolism: A case series. J Med Case Reports 2011; 5(1): 163.
[http://dx.doi.org/10.1186/1752-1947-5-163] [PMID: 21518463]
[6]
Veldtman GR, Dearani JA, Warnes CA. Low pressure giant pulmonary artery aneurysms in the adult: Natural history and management strategies. Heart 2003; 89(9): 1067-70.
[http://dx.doi.org/10.1136/heart.89.9.1067] [PMID: 12923030]
[7]
Theodoropoulos P, Ziganshin BA, Tranquilli M, Elefteriades JA. Pulmonary artery aneurysms: Four case reports and literature review. Int J Angiol 2013; 22(3): 143-8.
[http://dx.doi.org/10.1055/s-0033-1347907] [PMID: 24436601]
[8]
Orman G, Guvenc TS, Balci B, Duymus M, Sevingil T. Idiopathıc pulmonary artery aneurysm. Ann Thorac Surg 2013; 95(2): e33-4.
[http://dx.doi.org/10.1016/j.athoracsur.2012.08.044] [PMID: 23336912]
[9]
Kuwaki K, Morishita K, Sato H, Urita R, Abe T. Surgical repair of the pulmonary trunk aneurysm. Eur J Cardiothorac Surg 2000; 18(5): 535-9.
[http://dx.doi.org/10.1016/S1010-7940(00)00568-6] [PMID: 11053813]
[10]
van Rens MT, Westermann CJ, Postmus PE, Schramel FM. Untreated idiopathic aneurysm of the pulmonary artery; long-term follow-up. Respir Med 2000; 94(4): 404-5.
[http://dx.doi.org/10.1053/rmed.1999.0750] [PMID: 10845442]