Skip to main content
×
×
Home

Dissecting aneurysm of the pulmonary arteries—an unusual complication of congenital heart disease

  • Thomas M. Farrell (a1), Carol M. Cottrill (a1), William N. O'Connor (a1), Dede Boucher (a1) and Jacqueline A. Noonan (a1)...
Summary

Dissection of a pulmonary arterial aneurysm due to underlying pulmonary hypertension from congenital heart disease is uniformly fatal, but fortunately rare. Two such cases are presented, along with review of 24 other known cases published in the literature. Clinical presentation, guidelines tomanagement, and possible surgical intervention in the acutely dissecting patient are discussed.

Copyright
Corresponding author
Dr. Carol M. Cottrill, Department of Pediatrics, University of Kentucky College of Medicine, Kentucky Clinic, Lexington, KY 40536-0284, USA. Tel. (606) 233-5494.
References
Hide All
1.Durno, L, Brown, L. A case of dissecting aneurysm of the pulmonary artery; patent ductus arteriosus; rupture into the pericardium. Lancet 1908; 1; 16931694.
2.Moench, G. Aneurysmal dilation of pulmonary artery with patent ductus arteriosus: death from rupture of aneurysm into pericardial sac. J Am Med Assoc 1924; 82; 16721673.
3.Favorite, G. Cor triatrium triloculare with rudimentary right ventricle, hypoplasia of transposed aorta, and patent ductus arteriosus, terminating by rupture of dilated pulmonary artery. Am J Med Sci 1934; 187; 663671.
4.Wilkinson, K. Aneurysmal dilation of the pulmonary artery. Br Heart J 1940; 2;255259.
5.Laubry, C, Routier, D. La dilatation congenitale de l'artere pulmonaire. Bulletin de l'Academie Nationale de Medicine 1941; 124; 126140.
6.Yuskis, A. Aneurysm of the right pulmonary artery with rupture into bronchus and a patent ductus arteriosus. Report of a case. California and Western Medicine 1943; 58; 272275.
7.Hartwell, A, Tilden, I. Aneurysm of the pulmonary artery. Am Heart J 1943; 26; 692698.
8.Crumpton, M. Congenital heart disease and dissecting aneurysm of pulmonary artery. Br Med J 1950; 1; 1303.
9.Lindert, M, Correll, H. Rupture of pulmonary aneurysm accompanying patent ductus arteriosus. J Am Med Assoc 1950; 143; 888891.
10.Fleming, H. Aorto-pulmonary septal defect with patent ductus arteriosus and death due to rupture of dissecting aneurysm of the pulmonary artery into the pericardium. Thorax 1956; 11; 7176.
11.Foord, A, Lewis, R. Primary dissecting aneurysms of peripheral and pulmonary arteries. Am Med Assoc Arch Path 1959; 68; 553577.
12.Grinvald, I, Vasilev, M. Oh raslaeevayshey aneureezme legochnoy artrepeey. Klin Med 1959; 37; 125128.
13.Epstein, S, Naji, A. Pulmonary artery aneurysm with dissection after the Blalock operation for tetralogy of Fallot. Am J Cardiol 1960; 5; 560564.
14.Best, J. Dissecting aneurysm of the pulmonary artery with multiple cardiovascular abnormalities and pulmonary hypertension. Med J Austral 1967; 2; 11291130.
15.D'Arbela, P, Mugerwa, J, Patel, A, Somers, K. Aneurysm of pulmonary artery with persistent ductus arteriosus and pulmonary infundibular stenosis. Fatal dissection and rupture in pregnancy. Br Heart J 1970; 32; 124126.
16.Tikoff, G, Bloom, S. Complete interruption of the aortic arch in an adult with a dissecting aneurysm of the pulmonary artery. Am J Med 1970; 48; 782786.
17.Placik, B, Rodbard, S, McMahon, J, Swaroop, S. Pulmonary artery dissection and rupture in eisenmenger's syndrome. Vasc Surg 1976; 10; 7280.
18.Coleman, M, Slater, D, Bell, R. Rupture of pulmonary artery aneurysm associated with persistent ductus arteriosus. Br Heart J 1980; 44; 464468.
19.Hemachuda, S, Ilgren, EDissecting aneurysm of the pulmonary artery associated with brain abscess: a case report. Clin Neuropath 1983; 2; 179181.
20.Hankins, G, Brekken, A, Davis, L. Maternal death secondary to a dissecting aneurysm of the pulmonary artery. Obstet Gynec 1985; 65(Suppl): 45S48S.
21.Nagelsmit, M, Eulderink, F. Dissecting aneurysm of the pulmonary trunk. Am J Cardiol 1986; 58; 660661.
22.Nguyen, G, Dowling, G. Dissecting aneurysm of the pulmonary trunk. Arch Pathol Lab Med 1989; 113; 11781179.
23.Walley, V, Virmani, R, Silver, M. Pulmonary arterial dissections and ruptures: to be considered in patients with pulmonary arterial hypertension presenting with cardiogenic shock or sudden death. Path 1990; 22; 14.
24.Sardesai, S, Marshall, R, Farrow, R, Mourant, A. Dissecting aneurysm of the pulmonary artery in a case of unoperated patent ductus arteriosus. Eur Heart J 1990; 11; 670673.
25.Collins, JJ, Koster, JK, Cohn, LH, VanDevanter, S. Common aortic aneurysms: when to intervene. J Cardiovasc Med 1983; 8; 245253.
26.Williams, TE, Schiller, M, Croenen, J, Hosier, DM, Sirak, HD. Pulmonary artery aneurysm successful excision and replacement ofthe main pulmonary artery. J Thorac Cardiovasc Surg 1971; 62; 6367.
27.Caralps, JM, Bonnin, O, Oter, R, Aris, A. True aneurysm of the main pulmonary artery: surgical correction. Ann Thorac Surg 1978; 25; 561563.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed