A bilharzial pulmonary artery aneurysm with a large calcified mural thrombus

Int J Cardiovasc Imaging. 2019 Mar;35(3):549-550. doi: 10.1007/s10554-018-1450-x. Epub 2018 Sep 7.

Abstract

Although very rarely encountered nowadays, bilharziasis should still be considered as one of the main causes of pulmonary artery aneurysms (PAA) and core-pulmonale in endemic areas. The ideal treatment of PAA remains uncertain because there is no clear consensus about the best therapeutic approach, due to limited experience because of the rarity of the disease. Still the management of pulmonary artery thrombus is only through proper anticoagulation and follow-up with a very limited role for surgery.

Keywords: Bilharziasis; Corepulmonale; Mural thrombi; Pulmonary artery aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm / diagnostic imaging
  • Aneurysm / etiology*
  • Aneurysm / physiopathology
  • Anticoagulants / therapeutic use
  • Computed Tomography Angiography
  • Dilatation, Pathologic
  • Echocardiography
  • Female
  • Hemodynamics
  • Humans
  • Middle Aged
  • Multidetector Computed Tomography
  • Pulmonary Artery* / diagnostic imaging
  • Pulmonary Artery* / physiopathology
  • Schistosomiasis / complications*
  • Schistosomiasis / diagnosis
  • Thrombosis / diagnostic imaging
  • Thrombosis / drug therapy
  • Thrombosis / etiology*
  • Thrombosis / physiopathology
  • Vascular Calcification / diagnostic imaging
  • Vascular Calcification / etiology*
  • Vascular Calcification / physiopathology

Substances

  • Anticoagulants