title: [Aneurysmal dilatation of pulmonary artery and its branches on mitral stenosis: a case report].
abstract: Pulmonary arteries aneurysms are rare and the rarely described bilateral aneurysms. A 45-year-old patient carrier of mitral stenosis was admitted for dyspnoea class III of the NYHA, chest pain and a not infectious cough. The clinical examination found semiology of mitral stenosis, tricuspid incapacity and pulmonary arterial hypertension. The electrocardiogram showed atrial fibrillation and right ventricle hypertrophy. Chest X-ray found a cardiomegaly, an aspect of double outline of the inferior right bow, a prominent aspect of the left average bow reminding an aneurysm of the left pulmonary artery. The echocardiography Doppler found a pure tight mitral stenosis (mitral surface=0.6 cm(2)), a dilation of the trunk of the pulmonary artery (diameter=74 mm) and of its branches (diameter of the right pulmonary artery=28 mm, diameter of the left pulmonary artery=36 mm) seat of a spontaneous contrast. The left atrium and right cardiac cavities were also dilated. There was an important tricuspid incapacity with a major pulmonary hypertension (systolic pulmonary arterial=109 mmHg). The thoracic angioscan showed a pseudoaneurysm of the trunk of pulmonary artery and its branches to their distal parts. Under diuretic, anticoagulating and analgesic treatment the clinical signs improved however the spontaneous contrast persisted. The patient was rejected by the surgery for exceeded clinical board. She is at present followed in our service for 5 months.
authors.affiliation: Travail de la clinique cardiologique du CHU Aristide Le Dantec, BP 26053, Parcelles Assainies, Dakar, Sénégal. drnova@hotmail.fr
authors.forename: N V
authors.initials: NV
authors.lastname: Yaméogo
authors.forename: M B
authors.initials: MB
authors.lastname: Ndiaye
authors.forename: M
authors.initials: M
authors.lastname: Diao
authors.forename: E C
authors.initials: EC
authors.lastname: Cabral-Ciss
authors.forename: M
authors.initials: M
authors.lastname: Sarr
authors.forename: S A
authors.initials: SA
authors.lastname: Ba
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D017541:Aneurysm, False / Q000175:diagnosis* / Q000188:drug therapy; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000188:drug therapy; D003906:Developing Countries; D004232:Diuretics / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000188:drug therapy; D017380:Hypertrophy, Right Ventricular / Q000175:diagnosis / Q000188:drug therapy; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000175:diagnosis* / Q000188:drug therapy; D011204:Poverty Areas; D011651:Pulmonary Artery; D012675:Senegal; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000700:Analgesics; D000925:Anticoagulants; D004232:Diuretics