Eur J Cardiothorac Surg 2006;29:248
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Infected pulmonary artery aneurysms: CT imaging findings
Phalla Ou
a
,
*
,
Daniel Sidi
b
,
Damien Bonnet
b
,
Francis Brunelle
a
a Department of Pediatric Radiology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75743 Paris Cedex 15, France
b Department of Pediatric Cardiology, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75743 Paris Cedex 15, France
Received 26 September 2005;
received in revised form 2 November 2005;
accepted 7 November 2005.
* Corresponding author. Tel.: +33 1 44 49 51 71; fax: +33 1 44 49 51 70. (Email: phalla.ou{at}nck.ap-hop-paris.fr).
Key Words: Pulmonary artery • Aneurysm • Computed tomography
CT scan was performed for haemoptysis in a patient with Streptococcus viridans right-sided endocarditis. It revealed pulmonary embolism with typically infected pulmonary artery aneurysms (Figs. 1 and 2 , in supplementary data). The patient has made good clinical progress with intravenous antibiotics and percutaneous exclusion of the aneurysm with a covered stent.
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Fig. 1. CT pulmonary angiography (GE, LightSpeed VCT, Milwaukee, USA): volume-rendering image showing a giant aneurysm of the left main pulmonary artery.
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Fig. 2. Panel A: extensive mural thrombus (*) in the giant aneurysm. Panel B: please note others smaller aneurysms grouped in cluster (arrow). RV: right ventricle, LV: left ventricle, PA: pulmonary artery, AA: ascending aorta, SVC: superior vena cava.
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Appendix A
Supplementary data
Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2005.11.011.
