title: Giant pulmonary artery aneurysm in a 6-year-old child.
abstract: A 6-year-old female child was admitted with complaints of progressive dyspnea on exertion since last 3 years. She was saturating 100% on room air with stable vitals. On clinical examination, left precordial bulge was seen with prominent epigastric pulsations. Chest X-ray showed rightward shift of mediastinum and huge homogenous opacity occupying almost entire left lung field. On two-dimensional echocardiography, a large aneurysmal mass was seen occupying left hemithorax which was suspected to be arising from pulmonary artery but its exact site of origin could not be determined. A small patent ductus arteriosus (PDA) was also seen. PDA could be seen directly supplying the aneurysm (Fig. 1). CT angiography was done to confirm the diagnosis. It showed a huge aneurysmal sac measuring 12 cm × 8.9 cm × 14 cm, arising from left pulmonary artery (LPA) opposite to the site of insertion of PDA. Sac was occupying most of the left lung and pushing down the left diaphragm (Fig. 2). Cause of formation of such a huge aneurysm could not be found out. Surgery was performed and mouth of the sac was closed along with ligation of duct, repair of LPA and drainage of the sac. After surgery, lung expansion was good. Patient was discharged and she is doing well.
authors.affiliation: Department of Pediatric Cardiology, Apollo Health City, Jubilee Hills, Hyderabad, India. Electronic address: gauravgarg2983@gmail.com.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Garg
authors.affiliation: Department of Pediatric Cardiology, Apollo Health City, Jubilee Hills, Hyderabad, India.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Tyagi
authors.affiliation: Department of Pediatric Cardiology, Apollo Health City, Jubilee Hills, Hyderabad, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Agrawal
authors.affiliation: Department of Pediatric Cardiology, Apollo Health City, Jubilee Hills, Hyderabad, India.
authors.forename: S R
authors.initials: SR
authors.lastname: Anil
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery; D000783:Aneurysm / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000601:surgery*; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: Left hemithorax; PA aneurysm; Patent ductus arteriosus