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Eur J Cardiothorac Surg 2007;31:561-562. doi:10.1016/j.ejcts.2006.12.005
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Rare case of multiple pulmonary artery aneurysms with caval thrombosis — Hughes-Stovin syndrome

Department of Cardiovascular and Thoracic Surgery, Kangbuk Samsung Hospital School of Medicine, Sungkyunkwan University, 108 Pyoung Dong Jongno-gu, Seoul, Republic of Korea

Received 15 September 2006; received in revised form 28 November 2006; accepted 4 December 2006.

^_* Corresponding author. Tel.: +82 2 2001 2150; fax: +82 2 2001 2148. (Email: csmed7{at}hanmail.net).

Hughes and Stovin first reported a syndrome consisting of multiple pulmonary artery aneurysms and venous thrombosis in 1959. We encountered a 45-year-old man who had massive hemoptysis and leg swelling. The CT and angiography showed huge bilateral pulmonary artery aneurysms and inferior vena caval thrombosis. The bilateral lower lobe aneurysms were successfully treated with staged operations. The patient tolerated the procedures relatively well and was followed up by steroid therapy with a good response.

Key Words: Aneurysm • Venous disease • Lobectomy