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Operative intervention for a central pulmonary artery pseudoaneurysm
  • Abhinav Singh,
  • Yihan Lin,
  • Jay Pal
Abhinav Singh

Corresponding Author:[email protected]

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Jay Pal
University of Colorado Denver - Anschutz Medical Campus
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Abstract

Pulmonary artery pseudoaneurysms are a rare but potentially lethal diagnosis. They can be further categorized by etiology or location and are typically successfully treated with endovascular therapies. However, they occasionally require operative intervention. Here, we present a case of a patient who presented with a central pulmonary artery pseudoaneurysm on CT scan with unclear etiology that was initially treated with conservative management. However, this was noted to have rapid enlargement on interval imaging necessitating urgent surgical intervention. The patient underwent a median sternotomy, anterior pulmonary artery arteriotomy for exposure, exclusion of the posterior artery pseudoaneurysm with a bovine pericardial patch, and closure of the anterior arteriotomy with a bovine pericardial patch. The patient did well and was discharged on postoperative day eleven with repeat imaging showing resolution.
06 May 2021Submitted to Journal of Cardiac Surgery
05 Aug 2021Submission Checks Completed
05 Aug 2021Assigned to Editor
16 Aug 2021Reviewer(s) Assigned
16 Aug 2021Review(s) Completed, Editorial Evaluation Pending
17 Aug 2021Editorial Decision: Revise Minor
31 Aug 20211st Revision Received
31 Aug 2021Submission Checks Completed
31 Aug 2021Assigned to Editor
01 Sep 2021Reviewer(s) Assigned
10 Sep 2021Review(s) Completed, Editorial Evaluation Pending
11 Sep 2021Editorial Decision: Accept
Dec 2021Published in Journal of Cardiac Surgery volume 36 issue 12 on pages 4762-4765. 10.1111/jocs.15999