Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course
We report the rare subchronic clinical course of a giant, dissecting pulmonary artery aneurysm in an oligosymptomatic middle-aged woman who had idiopathic pulmonary hypertension. Diagnosis was simple with the use of echocardiography and multislice computed tomography. Conversely, deciding on the tre...
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Published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute,
2005
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pubmed-13518392006-02-03 Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course Smalcelj, Anton Brida, Vojtjeh Samarzija, Miroslav Matana, Ante Margetic, Eduard Drinkovic, Niksa Tex Heart Inst J Case Report We report the rare subchronic clinical course of a giant, dissecting pulmonary artery aneurysm in an oligosymptomatic middle-aged woman who had idiopathic pulmonary hypertension. Diagnosis was simple with the use of echocardiography and multislice computed tomography. Conversely, deciding on the treatment was difficult, because prominent surgeons declined to perform surgical repair of the aneurysm and recommended heart–lung transplantation. Therefore, we were forced to treat our patient medically. She survived for 1 year, including 8 months of treatment with sildenafil, and then died suddenly while awaiting transplantation. Our patient, who had a dissecting, high-pressure pulmonary artery aneurysm, had an unexpectedly stable and uneventful clinical course for 1 year, which, under more favorable circumstances, might have provided enough time for heart–lung transplantation to be performed. Published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, 2005 /pmc/articles/PMC1351839/ /pubmed/16429912 Text en © 2005 by the Texas Heart® Institute, Houston |
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Case Report Smalcelj, Anton Brida, Vojtjeh Samarzija, Miroslav Matana, Ante Margetic, Eduard Drinkovic, Niksa Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
description |
We report the rare subchronic clinical course of a giant, dissecting pulmonary artery aneurysm in an oligosymptomatic middle-aged woman who had idiopathic pulmonary hypertension. Diagnosis was simple with the use of echocardiography and multislice computed tomography. Conversely, deciding on the treatment was difficult, because prominent surgeons declined to perform surgical repair of the aneurysm and recommended heart–lung transplantation. Therefore, we were forced to treat our patient medically. She survived for 1 year, including 8 months of treatment with sildenafil, and then died suddenly while awaiting transplantation. Our patient, who had a dissecting, high-pressure pulmonary artery aneurysm, had an unexpectedly stable and uneventful clinical course for 1 year, which, under more favorable circumstances, might have provided enough time for heart–lung transplantation to be performed. |
author |
Smalcelj, Anton Brida, Vojtjeh Samarzija, Miroslav Matana, Ante Margetic, Eduard Drinkovic, Niksa |
author_facet |
Smalcelj, Anton Brida, Vojtjeh Samarzija, Miroslav Matana, Ante Margetic, Eduard Drinkovic, Niksa |
author_sort |
Smalcelj, Anton |
title |
Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
title_short |
Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
title_full |
Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
title_fullStr |
Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
title_full_unstemmed |
Giant, Dissecting, High-Pressure Pulmonary Artery Aneurysm: Case Report of a 1-Year Natural Course |
title_sort |
giant, dissecting, high-pressure pulmonary artery aneurysm: case report of a 1-year natural course |
publisher |
Published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, |
publishDate |
2005 |
url |
https://ncbi.nlm.nih.gov/pmc/articles/PMC1351839/ https://ncbi.nlm.nih.gov/pubmed/16429912 |
_version_ |
1745676797939286016 |