title: Repair of pulmonary artery aneurysms.
abstract: OBJECTIVE
  We have presented the results of pulmonary arterial aneurysm repairs performed over eight years.
  
  
  METHODS
  From 2002 to December 2010, we performed nine operations for pulmonary artery aneurysms in our department. The mean age of the patients was 37.8 ± 17.1 years and four were females. Five patients had pulmonic valve stenosis, three patients had concomitant pathologies on the aortic or mitral valves, and two had isolated pulmonary arterial aneurysm. Aneurysm repairs were performed by plication in eight patients and with Dacron patch repair in one patient.
  
  
  RESULTS
  There were no postoperative deaths. Three patients required inotropic support postoperatively. One patient had pulmonary morbidity. The results of the pathology revealed intimal hyalinization, edema, and elastic fiber degeneration in the media, fibrosis in the adventitia, and increased vascularity. All patients were in New York Heart Association Class I or II except for one patient who had a prolonged intensive care stay. The mean duration of follow-up was 48.6 ± 33.2 months (range, 2 to 107) adding up to a total of 36.4 patient/years. The mean diameter of the pulmonary artery in the recent imaging was 3.6 ± 0.4 cm.
  
  
  CONCLUSIONS
  Pulmonary artery aneurysms are rare entities which are usually associated with other congenital defects. While surgery is the preferred treatment for symptomatic aneurysms, controversy exists as to the indications for repair in asymptomatic patients.
authors: Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey.
authors: Altug
authors: A
authors: Tuncer
authors: Eylem Yayla
authors: EY
authors: Tuncer
authors: Serpil Gezer
authors: SG
authors: Tas
authors: Hasan
authors: H
authors: Erdem
authors: Adil
authors: A
authors: Polat
mesh_terms: D000293:Adolescent; D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult