Surgical treatment for a pulmonary artery aneurysm with stenosis of the quadricuspid pulmonary valve

Hiroyuki Hara; Naoki Kanemitsu; Yuki Hori; Shingo Hirao

doi:10.1093/ejcts/ezaa300

Surgical treatment for a pulmonary artery aneurysm with stenosis of the quadricuspid pulmonary valve

Eur J Cardiothorac Surg. 2020 Sep 19:ezaa300. doi: 10.1093/ejcts/ezaa300. Online ahead of print.

Authors

Hiroyuki Hara¹, Naoki Kanemitsu¹, Yuki Hori¹, Shingo Hirao¹

Affiliation

¹ Department of Cardiovascular Surgery, Japan Red Cross Society Wakayama Medical Center, Wakayama, Japan.

PMID: 32949125
DOI: 10.1093/ejcts/ezaa300

Abstract

We report a case of pulmonary artery aneurysm and pulmonary stenosis with a quadricuspid pulmonary valve in a 64-year-old woman. While pulmonary artery disease had been found as a child, she needed no treatment because of the absence of symptoms and her normal physical development. She began experiencing dyspnoea on exertion 3 years ago. Echocardiography showed pulmonary artery aneurysm and severe pulmonary stenosis with a quadricuspid valve. Computed tomography showed a pulmonary artery aneurysm extending from its main trunk to the bilateral branches. The pulmonary valve was replaced, and the pulmonary trunk and its bilateral branch were reconstructed. The patient's postoperative course was uneventful.

Keywords: Pulmonary artery aneurysm; Pulmonary artery replacement; Pulmonary stenosis; Pulmonary valve replacement; Quadricuspid pulmonary valve.