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Eur J Cardiothorac Surg 2007;31:1139-1141. doi:10.1016/j.ejcts.2007.03.014
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case report

Surgical treatment of a pulmonary artery aneurysm

Nicola Vistarini, Stéphane Aubert*, Iradj Gandjbakhch, Alain Pavie

Department of Thoracic and Cardiovascular Surgery, Pitié Salpêtrière Hospital, Institut du Coeur, APHP, Pierre et Marie Curie University, Paris, France

Received 11 December 2006; received in revised form 2 March 2007; accepted 5 March 2007.

* Corresponding author. Address: Department of Cardiovascular Surgery, 47-83 boulevard de l’hôpital 75651 Paris Cedex 13, France. Tel.: +33 680684382; fax: +33 142165629. (Email: stephaneaubert{at}yahoo.fr).

We would like to report a rare case of post-stenotic aneurysm of the pulmonary trunk and its left branch in a 51-year-old man. His cardiac disease, which was first diagnosed at the age of 4, was left untreated because of absence of symptoms and normal physical development. A CT scan, recently performed because of decrease in exercise tolerance and worsening dyspnea, showed a pulmonary artery aneurysm (52 mm x 79 mm). The echocardiography revealed a severe pulmonary commissural stenosis. Through a surgical approach the pulmonary trunk and its left branch were excised and reconstructed using a 30 mm Dacron graft; the right pulmonary branch was then reimplanted on the right side of the tube. The patient's postoperative course was uneventful. He was discharged on the seventh postoperative day and there were no adverse events or complications at 1- and 3-month follow-up.

Key Words: Pulmonary artery aneurysm • Pulmonary valve stenosis






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.