title: Pulmonary artery stenosis caused by a large aortic arch pseudoaneurysm detected 10 years after a minor trauma.
abstract: Pseudoaneurysm of aorta is a rare condition usually seen after aortic surgeries or serious accidents. Here we report a 60 years old man without any previous medical condition who presented with non-specific symptoms and underwent different investigations for more than 1 year, until the presence of a continuous murmur raised suspicion toward his cardiovascular system. In echocardiographic and computed tomography (CT) angiographic studies a large pseudoaneurysm of aortic arch with compression effect on pulmonary artery was detected. At this stage he remembered having suffered a minor trauma 10 years ago. He finally underwent operation and his aortic wall was repaired successfully with a patch. This case highlights the importance of thorough history taking and physical examination in patients irrespective of symptoms and high index of suspicion to detect this life-threatening condition.
authors.affiliation: Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Jalal
authors.initials: J
authors.lastname: Zamani
authors.affiliation: Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Kamran
authors.initials: K
authors.lastname: Aghasadeghi
authors.affiliation: Department of Cardiac Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Khalil
authors.initials: K
authors.lastname: Zarrabi
authors.affiliation: Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Abdi Ardekani
authors.affiliation: Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Abdolali
authors.initials: A
authors.lastname: Zolghadrasli
keywords: Aortic Arch Pseudoaneurysm; Blunt Chest Trauma; Pulmonary Artery Compression