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Multiple pulmonary artery aneurysms due to infective endocarditis

A Kürşat Bozkurt1, Funda Oztunç, Canan Akman

  • 1Department of Cardiovascular Surgery, Istanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey. akbozkurt@yahoo.com

The Annals of Thoracic Surgery
|February 28, 2003
PubMed

Insights

A child with staphylococcal endocarditis developed pulmonary artery aneurysms. Surgical intervention and subsequent spontaneous thrombotic resolution led to favorable outcomes, highlighting effective management strategies.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Staphylococcal endocarditis can lead to serious complications in children.
  • Ventricular septal defect is a congenital heart condition that can predispose patients to endocarditis.

Observation:

  • A 6-year-old girl with a ventricular septal defect developed bilateral pulmonary artery aneurysms due to staphylococcal endocarditis.
  • Computed tomography scans showed progressive enlargement of one aneurysm, indicating a risk of rupture.
  • The patient presented with impending rupture and risk of life-threatening hemorrhage.

Findings:

  • Urgent left upper lobectomy was performed due to the risk of aneurysm rupture.
  • A second ipsilateral aneurysm was surgically managed by plication to exclude the sac.
  • Subsequent operations included closure of the ventricular septal defect and removal of tricuspid valve vegetations.
  • Follow-up revealed spontaneous thrombotic resolution of the right-sided aneurysms.

Implications:

  • This case demonstrates the successful surgical and medical management of complex pulmonary artery aneurysms in a pediatric patient.
  • Early detection and intervention are crucial for managing life-threatening complications of endocarditis.
  • Spontaneous resolution of aneurysms is a possible favorable outcome, warranting continued monitoring.

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