A huge thrombosed pulmonary artery aneurysm without pulmonary hypertension in a patient with hepatosplenic schistosomiasis.
BACKGROUND
We herein report a case of huge pulmonary artery aneurysm in a 55-year-old male farmer from the Nile delta (Lower-Egypt), mostly due to infestation with Schistosoma mansoni, which is the parasite causing hepatosplenic schistosomiasis.


METHODS
This male patient was admitted with a month-long history of progressive shortness of breath, 2-month history of fever, and a cough with mucoid sputum for 10 days. On examination, he had normal temperature and blood pressure, but he had tachypnea, tachycardia, and congested neck veins. Electrocardiography showed multifocal atrial tachycardia and right bundle branch block.


CONCLUSIONS
The present case is unique in that it shows the presence of a huge pulmonary artery aneurysm despite the absence of pulmonary hypertension.
Department of Cardiology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Elsayed S
ES
Abo-Salem
Department of Cardiology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mahmoud M
MM
Ramadan
D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D006976:Hypertension, Pulmonary; D008109:Liver Diseases, Parasitic / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D012555:Schistosomiasis mansoni / Q000150:complications* / Q000175:diagnosis; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology