de Souza Artur Henrique, Borges Pedro Arthur Ferreira, França Victor Eduardo de Almeida E, do Amaral Leonardo Veloso, Filho Geraldo Paulino Santana, Amorim Jader Bueno, do Sacramento Marvyn de Santana, Petto Jefferson, Gardenghi Giulliano
Department of Cardiovascular Surgery, Bahia, Brazil.
Department of Clinical Cardiology, Bahia, Brazil.
J Clin Transl Res. 2020 Jan 18;5(2):76-79. eCollection 2020 Jan 29.
Pulmonary artery aneurysm (PAA) is a rare disease, with a poorly known natural history, complex diagnosis and may evolve with serious complications, such as compression of adjacent anatomical structures. In some cases, the presence of such complications is what determines the symptoms and is the initial manifestation of the disease. This paper aims to report the case of a patient with typical angina, submitted to cardiac catheterization, which showed, among other lesions, severe left main coronary lesion with characteristics that led to the suspicion of extrinsic compression, which was identified as caused by a PAA. The treatment chosen in this case was surgical, reported concurrently with a literature review that guided the medical team in their decision-making.
Surgical correction of PAA may provide resolution of coronary symptoms in affected individuals.