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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Surgical Therapy for Pulmonary Artery Aneurysm
Hiroshi Kagawa1, Benjamin Silvester1, Douglas Smego1
1Division of Cardiothoracic Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Annals of Thoracic Surgery Short Reports
|October 30, 2025
Summary
Surgical repair of pulmonary artery aneurysms is safe and effective, with graft replacement being the most common approach. Management decisions for this rare condition should be individualized due to the lack of established guidelines.
Area of Science:
- Cardiology
- Thoracic Surgery
- Vascular Surgery
Background:
- Pulmonary artery aneurysm (PAA) is a rare condition with limited literature and no established management guidelines.
- Surgical intervention is often necessary for PAAs, but indications and optimal approaches require further clarification.
Purpose of the Study:
- To report on the surgical management and outcomes of patients with pulmonary artery aneurysms.
- To discuss surgical indications and management strategies for PAAs.
Main Methods:
- Retrospective review of 11 patients who underwent pulmonary artery aneurysm repair between 2010 and 2024.
- Collection of preoperative and surgical data.
Main Results:
- 11 patients underwent surgical repair for pulmonary artery aneurysms.
- Common findings included extension to branches (7 patients) and pulmonary valve involvement (9 patients).
- Seven patients had graft replacement, three had aneurysmorrhaphy, and one had a lung transplant, with a single mortality.
Conclusions:
- Surgical repair, particularly graft replacement with Dacron grafts, is a safe and feasible option for pulmonary artery aneurysms.
- Individualized, case-by-case assessment is crucial for determining surgical indications due to the absence of guidelines.
- Conservative management is an alternative when surgical risks outweigh benefits.
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