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J Thorac Cardiovasc Surg 2005;129:1170-1171
© 2005 The American Association for Thoracic Surgery
Brief Communications |
Department of Cardiovascular Surgery, Ibn Rochd Hospital, Casablanca, Morocco.
Received for publication August 11, 2004; accepted for publication August 23, 2004. * Address for reprints: Aziz Alami Aroussi, PhD, Department of Cardiovascular Surgery, Hôpital Ponchaillou, 2 rue Henri Le Guilloux, 35033 Rennes Cedex 9, France (E-mail: a3alami@hotmail.com).
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Pulmonary artery aneurysm is uncommon and may rupture causing fatal hemoptysis. We report 2 cases of bilateral pulmonary artery aneurysm for which we attempted conservative surgical treatment.
Clinical summary
Patient 1
A 16-year-old boy with previously diagnosed Behçet syndrome was hospitalized because of intermittent hemoptysis that had lasted for 2 weeks. Erythrocyte sedimentation rate was 40 mm in the first hour, and C-reactive protein level was greater than 3.5 mg/dL. Chest radiography (Figure 1, A) showed rounded right parahilar opacity. Computed tomographic scan (Figure 1, B) of the chest revealed aneurysmal dilatation of both main pulmonary arteries, with thrombus within. The patient received intravenous corticosteroid therapy and was operated on 7 days after admission. At the time of operation, he had an erythrocyte sedimentation rate of 13 mm/h and a C-reactive protein level of 1.5 mg/dL. Median sternotomy was performed. The proximal right pulmonary artery was clamped under the superior vena cava. The aneurysm was opened, the thrombus was evacuated, the arterial defect was
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