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Updated: Jun 16, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
[Thrombosed giant proximal pulmonary artery aneurysm]
Ozgül Uçar1, Deniz Sahin, Murat Vural
1Department of Cardiology, Ankara Numune Training and Research Hospital, Ankara, Turkey. ozgul_ucar@yahoo.com
Summary
This case study highlights a patient with Eisenmenger syndrome and a giant pulmonary artery aneurysm. Medical management improved functional capacity and prevented complications over a year.
Area of Science:
- Cardiology
- Pulmonary Hypertension
- Vascular Surgery
Background:
- Eisenmenger syndrome is a complex congenital heart disease leading to pulmonary hypertension.
- Giant pulmonary artery aneurysms are rare but serious complications.
- Thrombus formation within aneurysms poses significant embolic risk.
Observation:
- A 36-year-old male with a 22-year history of Eisenmenger syndrome presented with a giant left pulmonary artery aneurysm and massive thrombus.
- The patient experienced paroxysmal atrial fibrillation and was New York Heart Association class III.
- Imaging revealed a 10 cm left pulmonary artery diameter, thickened pulmonary valve with moderate regurgitation, and mean pulmonary artery pressure of 50 mmHg.
Findings:
- Medical management with warfarin, metoprolol, and bosentan was initiated.
- The patient demonstrated improved functional capacity within one month.
- No complications were observed during a one-year follow-up period.
Implications:
- This case underscores the potential for successful medical management of complex cardiovascular conditions.
- Early diagnosis and multidisciplinary treatment are crucial for managing pulmonary artery aneurysms in Eisenmenger syndrome.
- Further research into long-term outcomes of medical therapy for such cases is warranted.
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