Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Besart Cuko; Othmane Haddani; Massimo Baudo; Olivier Busuttil; Louis Labrousse

doi:10.7759/cureus.41752

Reconstruction of a Giant Main Pulmonary Artery Aneurysm Using a Porcine Root in an Adult Patient

Cureus. 2023 Jul 12;15(7):e41752. doi: 10.7759/cureus.41752. eCollection 2023 Jul.

Authors

Besart Cuko¹, Othmane Haddani¹, Massimo Baudo², Olivier Busuttil¹, Louis Labrousse¹

Affiliations

¹ Department of Cardiology and Cardio-Vascular Surgery, Hopital Cardiologique de Haut-Leveque, Pessac, FRA.
² Department of Cardiac Surgery, ASST Spedali Civili di Brescia, University of Brescia, Brescia, ITA.

Abstract

Pulmonary artery aneurysm (PAA) is a rare disorder with a difficult diagnosis and debated management in literature due to the limited number of cases. Even if the definitive treatment of PAA is surgery, consistent guidelines still need to be developed to help surgeons determine when intervention is appropriate. We report a case of a 77-year-old female diagnosed with central PAA measuring 61 mm at contrast-enhanced computerized tomography scan which was treated surgically. The patient underwent a successful elective complete pulmonary root replacement with a Medtronic Freestyle (Medtronic Inc, Minneapolis, MN) porcine root. Postprocedural recovery and follow-up at 12 months were uneventful.

Keywords: case report; medtronic freestyle bioprosthesis; porcine root; pulmonary artery aneurysm; pulmonary artery pseudo aneurysm; pulmonary root replacement; surgical case reports.

Publication types

Case Reports