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Surgical management of a giant pulmonary artery aneurysm in a patient with ischaemic heart disease – a case report
Sayar Kumar Munshi, Fahmi Faraz, Rafael Guerrero
Journal:

Cardiology in the Young / Volume 33 / Issue 12 / December 2023

Published online by Cambridge University Press:

14 September 2023, pp. 2657-2660
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Association of Pulmonary Artery Aneurysm with Ischemic Heart Disease is uncommon, and its surgical management has been rarely described in the literature. Surgical intervention should be individualised according to the coexisting diseases and comorbidities to achieve optimal outcome. We report a case of a 76-year-old man with background history of coronary artery stenting due to ischaemic heart disease. The patient presented with features of coronary compression due to giant pulmonary artery aneurysm. He was operated with replacement of aneurysmal pulmonary trunk with 25 mm Hancock conduit.

Giant right pulmonary artery aneurysm in a systemic-to-pulmonary artery shunt
Efrén Martínez-Quintana, Jose M. Medina-Gil, Jorge Marrero-Brito
Journal:

Cardiology in the Young / Volume 29 / Issue 6 / June 2019

Published online by Cambridge University Press:

14 June 2019, pp. 835-836
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Aneurysms of the pulmonary arteries and trunk are rare entities. The Waterston shunt is a palliative procedure for children with cyanotic CHD due to obstruction of the pulmonary outflow. Described complications are distortion of the pulmonary artery and pulmonary arterial hypertension. We report a patient with a giant right pulmonary artery aneurysm in relation to a Waterston shunt.

47 - Rhabdomyolysis
from Section 7 - Renal emergencies
- By Jeremy Gonda
Edited by Kaushal Shah, Jarone Lee, Kamal Medlej, American University of Beirut, Scott D. Weingart
Book:

Practical Emergency Resuscitation and Critical Care

Published online:

05 November 2013

Print publication:

24 October 2013, pp 320-324
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Summary

This chapter discusses the diagnosis, evaluation and management of massive hemoptysis. Worldwide, tuberculosis (TB) is the most common cause of massive hemoptysis. In the United States, patients frequently have a history of pulmonary disease and/or smoking, cancer, prior hemoptysis, immunosuppression, cardiac disease, or coagulopathy/anticoagulant use. Patients may present with a sentinel bleed, with only a small amount of initial hemoptysis. The clinical course of these patients is difficult to predict, as small amounts of hemoptysis may suddenly become massive. Patients may present to the ED in extremis with active hemorrhage and respiratory failure. If the patient does not have active bleeding and is stable enough to go to radiology, chest CT may assist finding the etiology of hemoptysis. Bronchiectasis, lung abscess, pulmonary artery aneurysm, pulmonary embolism, and mass lesions are all abnormalities that can be identified by chest CT.