RESUMO
Idiopathic pulmonary artery aneurysms are rare and need a multidisciplinary approach to diagnosis and treatment. Surgery is the treatment of choice, especially when the aneurysms are large and when they are associated with pulmonary regurgitation. This report highlights a case in which successful surgical repair preserved the native pulmonary valve after pulmonary artery reconstruction.
Assuntos
Aneurisma/diagnóstico , Implante de Prótese de Valva Cardíaca/métodos , Artéria Pulmonar , Insuficiência da Valva Pulmonar/diagnóstico , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Aneurisma/complicações , Aneurisma/cirurgia , Diagnóstico Diferencial , Ecocardiografia , Feminino , Humanos , Insuficiência da Valva Pulmonar/complicações , Insuficiência da Valva Pulmonar/cirurgia , Tomografia Computadorizada por Raios XRESUMO
The usual cause of left main coronary artery obstruction is atherosclerotic occlusion resulting from plaque rupture and subsequent thrombus formation. In previously reported cases, tumor embolization into the coronary arteries caused sudden death and was detected only at autopsy. Herein, we report an unusual presentation of cardiac papillary fibroelastoma of the aortic valve in a 62-year-old man. The fibroelastoma caused a left main coronary artery embolus and symptoms of acute coronary syndrome. The fibroelastoma was successfully excised during a valve-sparing surgical procedure. We believe that this is the 1st report of tumor embolization to the left main coronary artery--and in a living patient.
