Pulmonary hypertension as a result of an aortic aneurysm compressing to pulmonary arteries

Year 2013, , 205 - 206, 31.07.2013

Ahmet Karagöz , Özgül Uçar , Abdullah Çelik Altuğ Çakmak

https://doi.org/10.5835/jecm.omu.30.02.026

Abstract

Thoracic aortic aneurysm is a major health problem with multiple etiologies and potentially devastating consequences. Acute aortic dissection should be included in the differential diagnosis of patients with sudden onset of chest or back pain, syncope, stroke, or acute heart failure. However, these symptoms are not typical of chronic aneurysm without dissection. Furthermore as a rare complication large aneurysms may cause symptoms via mass effect. Herein we report a case of a giant thoracic aortic aneurysm causing severe pulmonary hypertension due to compression of the pulmonary arteries. The it pulmonary hypertension via the mass affect of an aneurysm is considered to be rare, but should also be kept in mind, especially in the absence of an observable reason for pulmonary hypertension and when the size of the aneurysm is extremely large.

Keywords

Aortic aneurysm, Compression, Mass affect, Pulmonary hypertension

References

• Danyi, P., Elefteriades, JA., Jovin, I.S., 2012. Medical therapy of thoracic aortic aneurysms. Trends. Cardiovasc. Med. 22, 180-184.
• Desai, D.M., Mandke, J.V., Sharma, S., 1991. Role of magnetic resonance imaging in diagnosis of aortic aneurysm presenting with compression of left pulmonary artery and left main bronchus. Indian Heart J. 43, 47-49.
• Iskandrian, A., Kimbiris, D., Pennock, P.C., Segal, B., Choong, S.S., 1977. Right heart failure secondary to compression of the right pulmonary artery by a syphilitic aortic aneurysm. Chest. 72, 530-532.
• Kim, D.H., Ryu, S.W., Choi, Y.S., Ahn, B.H., 2004. Aortic dissection presenting with secondary pulmonary hypertension caused by compression of the pulmonary artery by dissecting hematoma: A case report. Korean J. Radiol. 5, 139-142.
• Lavall, D., Schäfers, H.J., Böhm, M., Laufs, U., 2012. Aneurysms of the ascending aorta. Dtsch. Arztebl. Int. 109, 227-233.
• Neri, E., Toscano, T., Civeli, L., Capannini, G., Tucci, E., Sassi, C., 2001. Acute dissecting aneurysm of the ascending thoracic aorta causing obstruction and thrombosis of the right pulmonary artery. Tex. Heart Inst. J. 28, 149-151.
• Tomey, M.I., Murthy, V.L., Beckman, J.A., 2011. Giant syphilitic aortic aneurysm: A case report and review of the literature. Vasc. Med. 16, 360-364.
• Journal of Experimental and Clinical Medicine 30 (2013) 205-206