David's procedure for pulmonary artery aneurysm.
Renda CirciEmre BoysanBulent Behlul AltunkeserNazif AygulKumral CagliKerim CagliErol SenerPublished in: Journal of cardiac surgery (2020)
Pulmonary artery aneurysm (PAA) is a rare entity with fatal complications. Its silent course contributes to large aneurysms with compression symptoms. We present a 39-year-old female idiopathic pulmonary arterial hypertension patient with a giant PAA causing severe pulmonary regurgitation (PR) and symptomatic left main coronary artery compression (LMCA). Since she had a failed LMCA stenting attempt, she underwent surgery. A valve-sparing David-like pulmonary trunk reconstruction and coronary artery bypass were performed. This case illustrates that David-like reconstruction procedure can be applied to the PAA with severe PR.
Keyphrases
- pulmonary artery
- coronary artery
- coronary artery bypass
- pulmonary arterial hypertension
- pulmonary hypertension
- minimally invasive
- percutaneous coronary intervention
- aortic valve
- early onset
- antiplatelet therapy
- aortic stenosis
- mitral valve
- case report
- risk factors
- acute coronary syndrome
- coronary artery disease
- drug induced
- lower limb
- abdominal aortic aneurysm
- left ventricular
- atrial fibrillation
- surgical site infection