Surgical management of a giant left distal pulmonary artery aneurysm caused by Behcet's disease. (12th March 2020)

• Record Type: Journal Article
• Authors: Li, Xiaobing; Fan, Xian; Shen, Li; Zhang, Rufang
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 30:Number 6(2020)
• Page Start: 943
• Page End: 944
• Publication Date: 2020-03-12
• Subjects: Pulmonary artery aneurysm -- Behcet's disease -- Cardiopulmonary bypass; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivaa030
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: Pulmonary artery (PA) aneurysm is a very rare complication of Behcet's disease. We report on a 14-year-old boy with a giant left distal PA aneurysm caused by Behcet's disease. A left thoracotomy was first performed to separate the aneurysm, but it was interrupted due to continuous and massive tracheorrhagia. We immediately converted to a median sternotomy and established cardiopulmonary bypass (CPB). The patient's condition was stable; aneurysmectomy and left-down lobectomy were successfully performed. Results of the 2-year follow-up were favourable. Based on our experience, we recommend selecting CPB when performing surgery on patients with PAA, especially those with Behcet's disease.