Abstract
The pulmonary artery aneurysm (PAA) is a rare disease with no well-defined guidelines
about the diagnostic criteria and its management. In fact, the indications for surgical
treatment and the type of surgical approach are not clear. However, in case of giant
PAAs with hypertension and pulmonary valve abnormalities, surgery should be considered
as an effective and safe approach to prevent dissections or ruptures. In this report,
we describe a successful case of surgical repair, using a Bioconduit with a pericardial
patch to recreate the pulmonary artery bifurcation in a 72-year-old male with aneurysm
of the pulmonary artery (max diameter: 72 mm), associated with quadricuspid pulmonary
valve stenosis and pulmonary hypertension. The procedure was uncomplicated and the
follow-up computed tomography scan at 4 months showed correct positioning of the graft
with no sign of contrast leakage.
Keywords
CT - pulmonary valve - valve stenosis - aneurysm - pulmonary hypertension - cardiac
surgery - cardiopulmonary bypass
