Tuberc Respir Dis.  1989 Sep;36(3):274-279. 10.4046/trd.1989.36.3.274.

One Case of the Pulmonary Artery Aneurysm

Abstract

A 53-year-old female patient has been suffering from chest pain since experiencing blunt trauma to the left part of the chest. No murmur, clubbing digits, or cyanosis were noted on physical examination. The initial chest P-A X-ray shows well circumscribed radiodensity in the left suprahilar area The pulmonary artery angiography shows marked dilatation of the main, left and right pulmonary artery in that order. The pressure in the pulmonary artery and right ventricle are 20/ 10 mmHg (mean; 13 mmHg), 24 / 5 mmHg, respectively 18 months later, the control chest P-A X-ray shows higher increase in its size. A pulmonary artery aneurysm is rare and we suspect that blunt chest trauma is the cause of it but we cannot confirm the underlying structural abnormality or idiopathic abnormal state without surgery or autopsy.

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