David's procedure for pulmonary artery aneurysm. Issue 4 (28th February 2020)

• Record Type: Journal Article
• Authors: Circi, Renda; Boysan, Emre; Behlul Altunkeser, Bulent; Aygul, Nazif; Cagli, Kumral; Cagli, Kerim; Sener, Erol
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 4(2020)
• Page Start: 942
• Page End: 945
• Publication Date: 2020-02-28
• Subjects: pulmonary artery aneurysm -- pulmonary hypertension -- reconstruction; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14480
• Languages: English
• ISSNs: 0886-0440

Abstract

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.