Surgical Repair Of Pulmonary Artery (pa) Aneurysm : A Simplified And Reproducible Technique
Shi S. Poon, Joseph George, Pankaj Kumar.
Morriston Hospital, Swansea, United Kingdom.
OBJECTIVE: We present a case of simplified and reproducible pulmonary artery aneurysm replacement.
METHODS: He is a 64 years-old gentleman with a backgroud of COPD, bronchiectasis, gout and atrial fibrillation presenting with mild dyspnoea NYHA 1 CCS class 0. Subsequent CT scan revealed a dilated pulmonary artery >5.5cm. Echocardiography scan revealed normal heart valves and function. Pulmonary artery systolic pressure was measured at 50mmHg. His lung function test was unremarkable. Intraoperative findings and procedures were described in the video.
RESULTS: The patient underwent standard median sternotomy, cardiopulmonary bypass and aortic cross-clamping, followed by ascending aortic transection, pulmonary artery aneurysmectomy and end to end anastomosis with customised bovine pericardial interposition graft. He made an uneventful recovery from surgery with no pulmonary hypertension and at 6 years follow up remains well. Follow up CT scan revealed reduced size of pulmonary artery and no residual aneurysm.
CONCLUSIONS: Pulmonary artery aneurysm is a rare condition that can be replaced safely with reproducible surgical technique.
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