Multimodality imaging of quadricuspid pulmonary valve associated with pulmonary artery aneurysm

2019 ◽  
Vol 36 (11) ◽  
pp. 2094-2098
Author(s):  
Kianoush Ansari‐Gilani ◽  
Brian D. Hoit ◽  
Robert C. Gilkeson
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Valve ◽  
Multimodality Imaging ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm

Concomitant operation for pulmonary artery aneurysm and pulmonary valve regurgitation

2020 ◽  
Vol 68 (8) ◽  
pp. 855-857 ◽  
Author(s):  
Yosuke Takahashi ◽  
Toshihiko Shibata ◽  
Masanori Sakaguchi ◽  
Hiromichi Fujii ◽  
Akimasa Morisaki ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Valve ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm ◽  
Valve Regurgitation ◽  
Pulmonary Valve Regurgitation ◽  
Concomitant Operation

scholarly journals Isolated Congenital Dysgenesia of a Pulmonary Valve Cusp Presenting as a Pulmonary Artery Aneurysm

2019 ◽  
Vol 107 (6) ◽  
pp. e385-e387
Author(s):  
Sedigheh Saedi ◽  
Kiara Rezaei-Kalantari ◽  
Mozhgan Parsaee ◽  
Mohaddeseh Behjati ◽  
Saeid Hosseini
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Valve ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm

Pulmonary artery aneurysm mimicking pulmonary artery dissection detected by multimodality imaging

2013 ◽  
pp. 1180-1182
Author(s):  
Murat Unlu ◽  
Sait Demirkol ◽  
Sevket Balta ◽  
Ugur Bozlar ◽  
Ugur Kucuk
Keyword(s):  
Pulmonary Artery ◽  
Multimodality Imaging ◽  
Artery Aneurysm ◽  
Artery Dissection ◽  
Pulmonary Artery Aneurysm

scholarly journals P255 A fall from the tractor: a case report

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Habjan ◽  
D Cantisani ◽  
I S Scarfo` ◽  
V Avitabile ◽  
F Romeo ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Transesophageal Echocardiography ◽  
Pulmonary Valve ◽  
Interventricular Septum ◽  
Artery Aneurysm ◽  
Left Pulmonary Artery ◽  
Pulmonary Trunk ◽  
Systolic Pulmonary Artery Pressure ◽  
Pulmonary Artery Aneurysm ◽  
The Right

Abstract Introduction Pulmonary artery aneurysms (PAAs) are rare and infrequently diagnosed clinical conditions. They can have congenital, acquired or idiopathic causes. PAAs can be asymptomatic or present with non-specific manifestations even at large diameters up to 70 mm. Rupture and dissection are the main life threating complications. The optimal treatment remains uncertain. There are no clear guidelines regarding the therapeutical approach. Case presentation A 78-year-old male presented at our medical facility to investigate further a pulmonary artery aneurysm discovered accidentally after a traumatic fall from a farmer tractor. He had no important chronic diseases, but in his medical history it was reported that he was excluded from the military service on top of a cardiac murmur, never investigated with an echocardiography exam. The fall from the tractor caused a fracture of the second and third costal ribs with hematoma and a commotional cranial trauma. At the thoraco-abdominal computed tomography (CT) scan conducted after the fall emerged an important fusiform dilatation of the principal pulmonary trunk and the left pulmonary artery (3.8 cm and 5 cm respectively). There was also a mild dilatation of the right pulmonary artery (3 cm), thickening of the pulmonary valve cusps and dilatation of the right cardiac chambers with flattening of the interventricular septum. Pulmonary embolism was excluded. Transthoracic and transesophageal echocardiography revealed a dysplastic pulmonary valve, with thickened cusps and moderate stenosis with insufficiency. The jet of the right ventricular outflow tract was eccentric with an anterolateral direction and a correlated dilatation of the common pulmonary trunk (3.8 cm) and the left pulmonary artery (5 cm). The right ventricle appeared not dilated and the tricuspid regurgitation was mild with a normal systolic pulmonary artery pressure. The dilated pulmonary artery did not interfere with the flow in the left main coronary artery. We concluded that the pulmonary artery aneurysm was mainly due to the congenital pulmonary valvulopathy. The patient underwent successful pulmonary trunk, left pulmonary artery and pulmonary valve replacement with a bioprosthetic valved conduit. Conclusion Congenital pulmonary valvulopathy can remain clinically silent lifelong and is commonly discovered during exams performed due to other clinical circumstances. The eccentric jet caused by the valvulopathy can be the reason for dilatation of the pulmonary trunk and pulmonary arteries. Transthoracic and transesophageal echocardiography are competent tools for clarifying the cause of the pulmonary artery aneurysm and therefore are essential in the decision making regarding the treatment strategy. Abstract P255 Figure. Transesophageal echocardiography images

scholarly journals Succesfull management of a giant pulmonary artery aneurysm associated with severe congenital pulmonary valve stenosis in an adult patient

2020 ◽  
Vol 30 (1) ◽  
pp. 78-83
Author(s):  
Raluca Sosdean ◽  
Adina Ionac ◽  
Alina Stan ◽  
Sorin Pescariu ◽  
Adrian Ursulescu
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Circulation ◽  
Pulmonary Valve ◽  
Artery Aneurysm ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Pulmonary Artery Aneurysm ◽  
Pulmonary Valve Stenosis ◽  
Therapeutic Implications ◽  
The Right

Pulmonary artery aneurysms are rare entities usually associated with congenital anomalies that increase blood flow/pressure in the pulmonary circulation, like left to right shunts and/or severe pulmonary valve pathologies. Clear re-commendations about their management are lacking. We report on a case of severe congenital pulmonary valve stenosis associated with a giant pulmonary artery aneurysm, secondary right ventricular outflow tract obstruction and right to left atrial shunt. We discuss the diagnostic pathway, therapeutic approach and patient evolution. The case report proves that a complete imaging of the heart and blood vessels is mandatory with severe pulmonary valve stenosis, in order to better describe its repercussions on the right ventricle and pulmonary circulation. They might be under detected by simple tran-sthoracic echocardiography but their presence has important therapeutic implications.

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