Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease
Key Clinical Message This case report aims to increase awareness that pulmonary artery aneurysms may occur as a complication of neglected patent ductus arteriosus and should be sought in children with ill‐treated congenital heart diseases. Abstract Pulmonary artery aneurysm is a rare anomaly with an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-06-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.7622 |
| _version_ | 1797791703360339968 |
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| author | Samuel Sisay Hailu Hermon Miliard Derbew Abrehet Zeray Tesfahunegn Hailemariam Hansel J. Otero |
| author_facet | Samuel Sisay Hailu Hermon Miliard Derbew Abrehet Zeray Tesfahunegn Hailemariam Hansel J. Otero |
| author_sort | Samuel Sisay Hailu |
| collection | DOAJ |
| description | Key Clinical Message This case report aims to increase awareness that pulmonary artery aneurysms may occur as a complication of neglected patent ductus arteriosus and should be sought in children with ill‐treated congenital heart diseases. Abstract Pulmonary artery aneurysm is a rare anomaly with an autopsy prevalence of 1:14,000. These aneurysms can arise secondary to various etiologies, with congenital causes identified in 25% of cases and congenital heart diseases (CHD) responsible for more than half of these cases. A 12‐year‐old boy with CHD in the form of patent ductus arteriosus (PDA) and irregular clinical follow‐up presented with new onset fatigue of 3 months duration. A physical examination revealed anterior chest wall bulging and a continuous murmur. A chest radiograph showed a smooth left hilar region opacity that has a close relation with the left cardiac border. Transthoracic echocardiogram shows no progression from the previous one; there was a large PDA and pulmonary hypertension, but no further information was available. Computed tomography angiography revealed a giant aneurysm of the main pulmonary artery (PA), with a maximum diameter of 8.6 cm, and dilatation of its branches of 3.4 and 2.9 cm for the right and left PA, respectively. |
| first_indexed | 2024-03-13T02:23:35Z |
| format | Article |
| id | doaj.art-ed0c8e319b8440198bf85c827c5866ad |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-13T02:23:35Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-ed0c8e319b8440198bf85c827c5866ad2023-06-30T07:34:08ZengWileyClinical Case Reports2050-09042023-06-01116n/an/a10.1002/ccr3.7622Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart diseaseSamuel Sisay Hailu0Hermon Miliard Derbew1Abrehet Zeray2Tesfahunegn Hailemariam3Hansel J. Otero4Department of Radiology, College of Health Sciences Addis Ababa University Addis Ababa EthiopiaDepartment of Radiology Children's Hospital of Philadelphia Philadelphia Pennsylvania USADepartment of Radiology, College of Health Sciences Addis Ababa University Addis Ababa EthiopiaDepartment of Radiology, College of Health Sciences Addis Ababa University Addis Ababa EthiopiaDepartment of Radiology Children's Hospital of Philadelphia Philadelphia Pennsylvania USAKey Clinical Message This case report aims to increase awareness that pulmonary artery aneurysms may occur as a complication of neglected patent ductus arteriosus and should be sought in children with ill‐treated congenital heart diseases. Abstract Pulmonary artery aneurysm is a rare anomaly with an autopsy prevalence of 1:14,000. These aneurysms can arise secondary to various etiologies, with congenital causes identified in 25% of cases and congenital heart diseases (CHD) responsible for more than half of these cases. A 12‐year‐old boy with CHD in the form of patent ductus arteriosus (PDA) and irregular clinical follow‐up presented with new onset fatigue of 3 months duration. A physical examination revealed anterior chest wall bulging and a continuous murmur. A chest radiograph showed a smooth left hilar region opacity that has a close relation with the left cardiac border. Transthoracic echocardiogram shows no progression from the previous one; there was a large PDA and pulmonary hypertension, but no further information was available. Computed tomography angiography revealed a giant aneurysm of the main pulmonary artery (PA), with a maximum diameter of 8.6 cm, and dilatation of its branches of 3.4 and 2.9 cm for the right and left PA, respectively.https://doi.org/10.1002/ccr3.7622congenital heart diseasepatent ductus arteriosuspulmonary artery aneurysm |
| spellingShingle | Samuel Sisay Hailu Hermon Miliard Derbew Abrehet Zeray Tesfahunegn Hailemariam Hansel J. Otero Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease Clinical Case Reports congenital heart disease patent ductus arteriosus pulmonary artery aneurysm |
| title | Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease |
| title_full | Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease |
| title_fullStr | Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease |
| title_full_unstemmed | Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease |
| title_short | Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease |
| title_sort | giant pulmonary artery aneurysm in a child rare complication of congenital heart disease |
| topic | congenital heart disease patent ductus arteriosus pulmonary artery aneurysm |
| url | https://doi.org/10.1002/ccr3.7622 |
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