The authors report a case of bilateral pulmonary artery aneurysm in a patient with chronic Chagas' disease and compensated congestive heart failure in whom clinical clues suggested pulmonary thromboembolism, and the actual nature of the lesions was discovered at the time of conventional imaging investigations. This case shows the rarity of bilateral pulmonary aneurysm associated with bilateral pulmonary throm boembolism and the importance of an awareness of this condition in the differential diagnosis for lung masses.
Get full access to this article
View all access options for this article.
References
1.
Lopez-Candales A., Kleiger RE, Aleman-Gomez J., et al: Pulmonary artery aneurysm: Review and case report. Clin Cardiol18:738-740, 1995.
2.
Nakano A., Kanda T., Fuse S., et al: An autopsy case of chronic pulmonary thromboembolism associated with congenital portal hypoplasty and pulmonary artery aneurysm. Nippon Kyobu Shikkan Gakkai Zasshi28:1012-1017, 1990 .
Jerray M., Benzarti M., Rouatbi N.: Possible Behçet's disease revealed by pulmonary aneurysm. Chest99:1282-1284, 1991.
5.
Baldini U., Micheli G.: A case of an aneurysm of the main pulmonary artery and of its two branches . G Ital Cardiol23:797-800, 1993.
6.
Chung CW, Doherty JU, Kotler R., et al: Pulmonary artery aneurysm presenting as a lung mass. Chest108:1164-1166, 1995.
7.
Vaideeswar P. , Deshpande JR: Pulmonary arterial aneurysms. Int J Cardiol35:424-426, 1992.
8.
Gupta AK, Sandhyamani S., Ravimandalam K., et al: Multiple pulmonary artery aneurysms due to mucoid vasculopathy—angiographic and histological observations. Thorac Cardiovasc Surg41:189-192, 1993.
9.
Disler LJ, Manga P., Barlow JB: Pulmonary arterial aneurysms in Marfan's syndrome. Int J Cardiol21:79-82, 1988.
10.
Uh S., Kim JO, You YK, et al: A case of Behçet's disease combined with pulmonary artery aneurysm in a Korean female patient. Korean J Intern Med9:47-50, 1994.
11.
Stark P., Jacobson F., Phillips A.: Aneurysms of the pulmonary arteries. Radiographic manifestations. Radiology34:323-330, 1994.
12.
Braunwald E. : Heart Disease—A Textbook of Cardiovascular Medicine, ed. 2. Philadelphia : WB Saunders Company, 1984, pp 1439-1440.
13.
Terris MH, Mainwaring RD, Pransky SM: Airway compromise secondary to vascular compression in a neonate. Int J Pediatr Otorhinolaryngol28:193-197, 1994.
14.
Sharad L., Kenji T., Lie JT, et al: Pathologic features of Behcet's syndrome. Hum Pathol16:790-795, 1985.
15.
Durieux P., Bletry O., Huchon G., et al: Multiple pulmonary arterial aneurysms in Behçet's disease and Hughes-Stovin syndrome. Am J Med71:736-741, 1981.
16.
Hurst JW, Schlant RC, Rackley CE: The Heart, ed. 7. New York: McGraw-Hill Information Services Company, 1990; pp 425-430,852,1193,1207,1257-1260.
17.
Braga JC, Labrunie A., Villaça F., et al: Thromboembolism in chronic Chagas' heart disease. Rev Soc Cardiol Estado de São Paulo4:187-191, 1984.
18.
Coard KC, Martin MP: Ruptured saccular pulmonary artery aneurysm associated with persistent ductus arteriosus. Arch Pathol Lab Med116:159-161, 1992.
19.
Strandness DE Jr, Van Breda A.: Vascular Diseases— Surgical and Interventional Therapy, ed. 1. New York: Churchill Livingstone Inc, 1994, pp 585-608.
20.
Jaffe RB, Condon VR: Mycotic aneurysms of the pulmonary artery and aorta. Radiology116:291-298, 1975.
21.
Barbier GH, Shettigar UR: Echocardiographic diagnosis of pulmonary artery aneurysm. J Fla Med Assoc82:470-472, 1995.
22.
Lakhkar BN, Nagaraj MV, Shenoy DP, et al: Bilateral pulmonary aneurysm in Behçet's disease (a case report) . J Postgrade Med38:47-49,48A-B, 1992 .
23.
Conces DJ Jr, Tarver RD, Augustyn GT: Nonangiographic imaging of the pulmonary arteries: CT and MR. Crit Rev Diagn Imaging27:237-269, 1987.
24.
Shah HR, Stark JE, Buckner CB: Magnetic resonance imaging of pulmonary artery aneurysm. South Med J84:1026-1028, 1981.
25.
Fields CL, Roy TM, Ossorio MA: Thrombosed pulmonary artery aneurysm. A rare cause of a high-probability lung scan. Chest102:1292-1294, 1992 .
26.
Bartter T., Irwin RS, Nash G.: Aneurysms of the pulmonary arteries. Chest94:1065-1075, 1988.
27.
Lê ThiHuong D., Wechsler B., Papo T., et al: Arterial lesions in Behçet's disease. A study in 25 patients . J Rheumatol22:2103-2113, 1995 .
28.
Murphy JP, Adyanthaya AV, Adams PR, et al: Peripheral pulmonary artery aneurysm in a patient with limited respiratory reserve: Controlled resection using cardiopulmonary bypass. Ann Thorac Surg43:323-325, 1987.
