Multiple pulmonary artery aneurysms due to infective endocarditis.
Bilateral pulmonary artery aneurysms developed in the course of staphylococcal endocarditis in a 6-year-old girl with ventricular septal defect. Consecutive computed tomography scans revealed the progressive enlargement of one of the aneurysms. She underwent an urgent left upper lobectomy because of the impending rupture and a possible life-threatening hemorrhage. The second ipsilateral aneurysm was plicated in order to exclude the aneurysm sac. In the next operation the ventricular septal defect was closed and vegetations located on the tricuspid valve were removed. On follow-up spontaneous thrombotic resolution occurred in the right-sided aneurysms.
Bozkurt
A Kürşat
AK
Department of Cardiovascular Surgery, Istanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey. akbozkurt@yahoo.com
Oztunç
Funda
F
Akman
Canan
C
Kurugoglu
Sebuh
S
Eroğlu
Ayşe Güler
AG
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000382:microbiology / Q000601:surgery*; D002648:Child; D015897:Comorbidity; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D013203:Staphylococcal Infections / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed