David's procedure for pulmonary artery aneurysm

Circi R., Boysan E., Behlul Altunkeser B., Aygul N., Cagli K., Cagli K., ...More

Journal of Cardiac Surgery, vol.35, no.4, pp.942-945, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 35 Issue: 4
  • Publication Date: 2020
  • Doi Number: 10.1111/jocs.14480
  • Journal Name: Journal of Cardiac Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.942-945
  • Keywords: pulmonary artery aneurysm, pulmonary hypertension, reconstruction
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

Pulmonary artery aneurysm (PAA) is a rare entity with fatal complications. Its silent course contributes to large aneurysms with compression symptoms. We present a 39-year-old female idiopathic pulmonary arterial hypertension patient with a giant PAA causing severe pulmonary regurgitation (PR) and symptomatic left main coronary artery compression (LMCA). Since she had a failed LMCA stenting attempt, she underwent surgery. A valve-sparing David-like pulmonary trunk reconstruction and coronary artery bypass were performed. This case illustrates that David-like reconstruction procedure can be applied to the PAA with severe PR.