One Case of the Pulmonary Artery Aneurysm

Ma, Sung Dae; Baik, Jin Heum; Choi, Dong Wook; Kim, Eun Bae; Rhu, Nam Soo; Cho, Dong Ill; Kim, Jae Won

doi:1989.36.3.274

Tuberc Respir Dis > Volume 36(3); 1989 > Article

Case report

Tuberculosis and Respiratory Diseases 1989;36(3):274-279.
DOI: https://doi.org/10.4046/trd.1989.36.3.274 Published online September 1, 1989.

One Case of the Pulmonary Artery Aneurysm

Sung Dae Ma, Jin Heum Baik, Dong Wook Choi, Eun Bae Kim, Nam Soo Rhu, Dong Ill Cho, Jae Won Kim

Department of Chest Medicine, National Medical Center, Seoul, Korea

폐동맥류 1예

마성대, 백진흠, 최동욱, 김은배, 유남수, 조동일, 김재원

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.