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Eur J Cardiothorac Surg 2002;21:928
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Giant pulmonary artery aneurysm

Hasan Huseyin Tellia, Niyazi Gormusb*, Ahmet Temizhana, Hasan Solakb

a Department of Cardiology, Meram Medical School of Selcuk University, 42080 Konya, Turkey
b Department of Cardiovascular Surgery, Meram Medical School of Selcuk University, 42080 Konya, Turkey

Received 5 December 2001; received in revised form 14 January 2002; accepted 17 January 2002.

* Corresponding author. Tel.: +90-332-3232600, ext. 1101; fax: +90-332-3232643
e-mail: ngormus{at}selcuk.edu.tr

Key Words: Pulmonary artery • Stenosis • Aneurysm

1. Case report

A 62-year-old woman, suffering from exertional dyspnea and chest pain with no peripheral cyanosis in childhood, was admitted to the cardiology department. Transthoracic echocardiography revealed valvular type pulmonary artery stenosis. Catheterization showed a giant post-stenotic pulmonary artery aneurysm (Fig. 1 ). An open heart surgery was advised to her, but she refused the operation.



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  		Fig. 1. Catheterization image of the patient showing a giant post-stenotic pulmonary artery aneurysm extending to both pulmonary arteries (black arrow and arrowhead) and jet-flow inside the pulmonary artery indicating the stenosis of pulmonary artery (wide arrow). The pressure gradient across the pulmonary artery was measured to be 70 mmHg.

 




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