A Rare Case of Pulmonary Artery Trunk Aneurysm

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2024-09-18 DOI:10.1177/15385744241284710

Hortência De Jesus Ferreira, Juliana A. Ferreira Borges, Natalia Simões Galini Schwarz De Andrade, José T. De Castro, Fabiano Reis, Carla Daruich De Souza

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Abstract

BackgroundPulmonary artery trunk aneurysm (PATA) is a rare and complex vascular anomaly characterized by the abnormal dilation of the initial portion of the pulmonary artery, posing significant diagnostic and therapeutic challenges.PurposeThis clinical case report aims to describe the follow-up of a patient with PATA, emphasizing the role of imaging in diagnosis and monitoring, as well as discussing potential associations with other conditions.Research DesignThe study is designed as a clinical case report, detailing the longitudinal follow-up of a single patient with PATA.Study SampleThe subject of this study is a 48-year-old female patient with a history of idiopathic hypertension who developed a PATA. Data Collection and/or Analysis: Since 2010, the patient underwent various imaging exams, including echocardiography, computed tomography, and catheter angiography, to detect and evaluate the aneurysm at different stages.ResultsThe imaging results indicated a progression of the aneurysm over time, underscoring the importance of imaging in the early identification and monitoring of PATA. The report also explores the possible association of PATA with conditions such as pulmonary hypertension, Behçet’s disease, and Hughes-Stovin syndrome, highlighting the diagnostic complexity.ConclusionsImaging diagnosis is crucial for the detection, characterization, and monitoring of PATA, providing essential information for selecting appropriate treatment options and achieving a satisfactory prognosis. An individualized treatment approach, considering both medical and surgical options, is necessary based on the clinical characteristics of each patient.

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肺动脉干动脉瘤的罕见病例

背景肺动脉干动脉瘤（PATA）是一种罕见而复杂的血管异常，其特点是肺动脉起始部异常扩张，给诊断和治疗带来了巨大挑战。目的本临床病例报告旨在描述一名 PATA 患者的随访情况，强调影像学在诊断和监测中的作用，并讨论与其他疾病的潜在关联。研究样本本研究的对象是一名 48 岁的女性患者，她有特发性高血压病史，并出现了 PATA。数据收集和/或分析：自 2010 年以来，该患者接受了各种影像学检查，包括超声心动图、计算机断层扫描和导管血管造影，以检测和评估动脉瘤的不同阶段。报告还探讨了 PATA 与肺动脉高压、白塞氏病和休斯-斯托文综合征等疾病可能存在的关联，强调了诊断的复杂性。结论影像诊断对于 PATA 的检测、定性和监测至关重要，可为选择适当的治疗方案和获得满意的预后提供重要信息。有必要根据每位患者的临床特征，综合考虑内科和外科治疗方案，采取个体化的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).