Large main pulmonary artery aneurysm: Case report and brief review of the literature

• DOI: 10.1016/j.radcr.2023.10.038
• Publication Date: 2023-11-08T13:30:28Z
• Authors: Nikolaos S. Ioake...; Panagiotis Pepis; Dimitrios Valasiadis; Georgios Gkountelas; Konstantina Mitrousi; Paschalis Tossios
• Keywords: Pulmonary artery; Medical physics. Medical radiology. Nuclear medicine; 03 medical and health sciences; Computed Tomography; 0302 clinical medicine; Echocardiography; R895-920; Case Report; Aneurysm

Pulmonary artery aneurysms are a rare but often fatal clinical entity with an estimated incidence of 1 in 14,000 individuals postmortem studies. They can be congenital or acquired. No specific guidelines regarding their optimal management, medical surgical, currently exist and treatment is planned on case-by-case basis since data course prognosis limited. We present the case 77-year-old male patient who presented at Emergency Department our hospital complaint exertional dyspnea dull substernal pain over week. Upon investigation, main pulmonary true aneurysm measuring 61 mm Computed Tomography was detected. The patient's history remarkable for heavy smoking, arterial hypertension, dyslipidemia, known ascending aortic aneurysm, moderate COPD, past tuberculosis. He admitted to Cardiology unit treated as decompensated heart failure preserved ejection fraction. His symptoms improved intravenous diuretics. A chest MRI report, 7 years before his current event, described PA 51-52 mm. Regarding team decided follow conservative approach regular follow-up visits based comorbidities, functional status, slow growth rate aneurysm. Management requires heart-team context underlying conditions symptoms. More required order guide plan acceptable risk - benefit profile each patient.