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Aneurysm of the Main Pulmonary Artery: Association With Patent Ductus Arteriosus and Ostium Secundum Defect

Aneurysm of the Main Pulmonary Artery: Association With Patent Ductus Arteriosus and Ostium... Abstract Aneurysms of the main pulmonary artery are rare. They are usually associated with congenital cardiac defects, particularly those leading to pulmonary hypertension. In the past, syphilitic and mycotic aneurysms of this artery have been reported. In true aneurysms, dilatation tends to be confined to the trunk of the artery, and degenerative changes can be demonstrated in the wall. True aneurysms must be differentiated from the dilatation of the major branches of the pulmonary artery which usually accompanies absent pulmonic valve with ventricular septal defect. Such dilatation is also seen in some cases of tetrology of Fallot following surgical correction.1 The following report concerns a child with an aneurysm of the pulmonary artery. Follow-up extended over a 13-year period. Numerous hemodynamic and radiographic studies were performed, and rupture of the aneurysm was demonstrated at postmortem examination. Report of a Case This 15-year-old white girl was first referred for cardiac evaluation References 1. Azar R, Hardesty RL, Pontius RG, et al: A review of total correction in 200 cases of tetralogy of Fallot . Arch Surg 99: 281-285, 1969.Crossref 2. Deterling RA, Clagett OT: Aneurysm of the pulmonary artery: Review of the literature and report of a case . Amer Heart J 34:471-499, 1947.Crossref 3. Boyd LJ, McGavack TH: Aneurysm of the pulmonary artery: A review of the literature and report of two cases . Amer Heart J 18:562-578, 1939.Crossref 4. Lindert MCF, Correll HL: Rupture of pulmonary aneurysm accompanying patent ductus arteriosus . JAMA 143:888-891, 1950.Crossref 5. Jelinek JE, Owen TM: Bilateral pulmonary artery aneurysms associated with persistent ductus arteriosus . Brit Med J 1: 815, 1958.Crossref 6. Rawson AJ: Incomplete rupture of the pulmonary artery based on cystic medionecrosis . Amer Heart J 55:766-771, 1958.Crossref 7. Epstein S, Naji AF: Pulmonary artery aneurysms with dissection after Blalock operation for tetralogy of Fallot . Amer J Cardiol 5:560-563, 1960.Crossref 8. Takaku F, Ikeda M, Okinaka S: A case of congenital aneurysm of the pulmonary artery . Jap Heart J 2:404-411, 1961.Crossref 9. Ismein LM, Payan RH, Gerard R, et al: Un Cas D'anevvrisme de la branch droite de l'arterie pulmonaire . Presse Med 70:1865-1866, 1962. 10. Rivera ES, Espiritu RV, Dinio RL, et al: Aneurysm of the pulmonary artery with patent ductus arteriosus . J Philipp Med Assoc 41:321-325, 1965. 11. Friederici HHR: Multiple pulmonary artery aneurysms . Arch Path 81:453-457, 1966. 12. Favorite GO: Cor biatriatum trioculare with rudimentary right ventricle, hypoplasia of transposed aorta and patent ductus arteriosus, terminating by rupture of dilated pulmonary artery . Amer J Med Sci 187:663-671, 1934.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Aneurysm of the Main Pulmonary Artery: Association With Patent Ductus Arteriosus and Ostium Secundum Defect

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1970.02100050509010
Publisher site
See Article on Publisher Site

Abstract

Abstract Aneurysms of the main pulmonary artery are rare. They are usually associated with congenital cardiac defects, particularly those leading to pulmonary hypertension. In the past, syphilitic and mycotic aneurysms of this artery have been reported. In true aneurysms, dilatation tends to be confined to the trunk of the artery, and degenerative changes can be demonstrated in the wall. True aneurysms must be differentiated from the dilatation of the major branches of the pulmonary artery which usually accompanies absent pulmonic valve with ventricular septal defect. Such dilatation is also seen in some cases of tetrology of Fallot following surgical correction.1 The following report concerns a child with an aneurysm of the pulmonary artery. Follow-up extended over a 13-year period. Numerous hemodynamic and radiographic studies were performed, and rupture of the aneurysm was demonstrated at postmortem examination. Report of a Case This 15-year-old white girl was first referred for cardiac evaluation References 1. Azar R, Hardesty RL, Pontius RG, et al: A review of total correction in 200 cases of tetralogy of Fallot . Arch Surg 99: 281-285, 1969.Crossref 2. Deterling RA, Clagett OT: Aneurysm of the pulmonary artery: Review of the literature and report of a case . Amer Heart J 34:471-499, 1947.Crossref 3. Boyd LJ, McGavack TH: Aneurysm of the pulmonary artery: A review of the literature and report of two cases . Amer Heart J 18:562-578, 1939.Crossref 4. Lindert MCF, Correll HL: Rupture of pulmonary aneurysm accompanying patent ductus arteriosus . JAMA 143:888-891, 1950.Crossref 5. Jelinek JE, Owen TM: Bilateral pulmonary artery aneurysms associated with persistent ductus arteriosus . Brit Med J 1: 815, 1958.Crossref 6. Rawson AJ: Incomplete rupture of the pulmonary artery based on cystic medionecrosis . Amer Heart J 55:766-771, 1958.Crossref 7. Epstein S, Naji AF: Pulmonary artery aneurysms with dissection after Blalock operation for tetralogy of Fallot . Amer J Cardiol 5:560-563, 1960.Crossref 8. Takaku F, Ikeda M, Okinaka S: A case of congenital aneurysm of the pulmonary artery . Jap Heart J 2:404-411, 1961.Crossref 9. Ismein LM, Payan RH, Gerard R, et al: Un Cas D'anevvrisme de la branch droite de l'arterie pulmonaire . Presse Med 70:1865-1866, 1962. 10. Rivera ES, Espiritu RV, Dinio RL, et al: Aneurysm of the pulmonary artery with patent ductus arteriosus . J Philipp Med Assoc 41:321-325, 1965. 11. Friederici HHR: Multiple pulmonary artery aneurysms . Arch Path 81:453-457, 1966. 12. Favorite GO: Cor biatriatum trioculare with rudimentary right ventricle, hypoplasia of transposed aorta and patent ductus arteriosus, terminating by rupture of dilated pulmonary artery . Amer J Med Sci 187:663-671, 1934.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1970

References