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Main pulmonary artery aneurysm with chronic rheumatic mitral stenosis: a case report

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Pulmonary artery aneurysm associated with chronic rheumatic heart disease has not been reported. Isolated aneurysmal dilatations of pulmonary artery of varying etiology occur, not infrequently. Cystic medial necrosis as a cause of main pulmonary artery aneurysm has been cited quite often. We report a 48-year-old female with main pulmonary artery aneurysm of size 8.1 cm associated with chronic rheumatic mitral stenosis. Aneurysmorrhaphy and mitral valve replacement were done successfully. Histopathology of main pulmonary artery wall was consistent with cystic medial necrosis wherein in same patient the excised mitral leaflets showed the evidence of chronic rheumatic heart disease (hyaline degeneration).

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References

  1. Ayres SM, Arditi LI, Lambrew CT, Lukas DS. Quadrivalvular rheumatic heart disease; report of a case, with marked stenosis of all valves. Am J Med. 1962;32:467–70.

    Article  CAS  PubMed  Google Scholar 

  2. Clawson BJ. Rheumatic heart disease. An analysis of 796 cases. Am Heart J. 1940;20:454–74.

    Article  Google Scholar 

  3. Kumar AS, Iyer KS, Chopra P. Quadrivalvular heart disease. Int J Cardiol. 1985;7:66–9.

    Article  CAS  PubMed  Google Scholar 

  4. Hardin BL, Daniels WB. Tricuspid stenosis: Report of a case with involvement of all four valves of the heart. Ann Intern Med. 1942;17:536–44.

    Article  Google Scholar 

  5. McGuire J, McNamara RJ. Organic and relative insufficiency of the pulmonary valve. Am Heart J. 1937;14:562.

    Article  Google Scholar 

  6. Schwartz SP, Shelling D. Acquired rheumatic pulmonic stenosis and insufficiency. Am Heart J. 1931;6:568–74.

    Article  Google Scholar 

  7. Shattuck FC. Tricuspid stenosis, with the report of a case and specimen. Boston Med Surg J. 1891;124:307–9.

    Article  Google Scholar 

  8. Bandin MA, Vargas Barron J, Keirns C, et al. Echocardiographic diagnosis of rheumatic cardiopathy affecting all four cardiac valves. Am Heart J. 1990;120:1004–7.

    Article  CAS  PubMed  Google Scholar 

  9. Krishnamoorthy KM. Rheumatic stenosis of all four valves. Texas Heart Inst J. 2002;29:224–5.

    CAS  Google Scholar 

  10. Kumar N, Rasheed K, Gallo R, et al. Rheumatic involvement of all four heart valves: Preoperative echocardiographic diagnosis and successful surgical management. Eur J Cardiothorac Surg. 1995;9:713–4.

    Article  CAS  PubMed  Google Scholar 

  11. Tandon HD, Kasturi J. Pulmonary vascular changes associated with isolated mitral stenosis in India. Br Heart J. 1975;37:26–36.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Yan T, Zhang G, Li B, Zhong K, Xu Z, Han L. Pulmonary artery haemodynamic properties in patients with pulmonary hypertension secondary to rheumatic mitral stenosis. Heart Lung Circ. 2012;21:782–6.

    Article  PubMed  Google Scholar 

  13. Shiokawa Y, Ushijima T, Oishi Y, Tominaga R. Surgical repair of an idiopathic pulmonary artery aneurysm. J Thorac Cardiovasc Surg. 2011;59:120–2.

    Google Scholar 

  14. Metras D, Ouattara K, Quezzin-Coulibaly A. Aneurysm of the pulmonary artery with cystic medial necrosis and massive pulmonary valvular insufficiency. Report of two successful surgical cases. Eur J Cardiothorac Surg. 1987;1:119–24.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiothoracic surgery, Nizam’s Institute of Medical Sciences, Hyderabad, 500082, India

    Ramesh Chandra Mishra, Naresh Kumar Kalludi & Amaresh Rao Malempati

  2. Department of Cardiology, Nizam’s Institute of Medical Sciences, Hyderabad, 500082, India

    Ramachandra Chandra Barik

  3. Head of the Unit,CTVS, Nizam’s Institute of Medical Sciences, Hyderabad, 500082, India

    Ramesh Chandra Mishra

Authors
  1. Ramesh Chandra Mishra
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  2. Ramachandra Chandra Barik
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  3. Naresh Kumar Kalludi
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  4. Amaresh Rao Malempati
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Correspondence to Ramesh Chandra Mishra.

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Mishra, R.C., Barik, R.C., Kalludi, N.K. et al. Main pulmonary artery aneurysm with chronic rheumatic mitral stenosis: a case report. Indian J Thorac Cardiovasc Surg 31, 31–33 (2015). https://doi.org/10.1007/s12055-014-0345-2

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  • DOI: https://doi.org/10.1007/s12055-014-0345-2

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