Document Detail

Aneurysmal dilatation of the pulmonary trunk with mild pulmonic stenosis.
MedLine Citation:
PMID:  7787328     Owner:  NLM     Status:  MEDLINE    
We present the unusual case of a 72-year-old woman whose chest X-ray showed an abnormal left hilar shadow. A pulmonary angiogram revealed an aneurysm in the pulmonary artery with a diameter of 55 mm that extended from the main pulmonary trunk to its bifurcation. Mild pulmonic stenosis with a systolic pressure gradient of 18 mmHg across the pulmonic valve was recognized. Mild dilatation of the ascending aorta was also present. The pressure gradient across the pulmonic valve was lower than is typical for an aneurysmal dilatation, suggesting that this patient represented a case of idiopathic pulmonary artery dilatation. We suspected the presence of a congenital structural alteration common to the pulmonary artery and the ascending aorta.
T Shindo; T Kuroda; S Watanabe; Y Hojo; H Sekiguchi; K Shimada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  34     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-07-24     Completed Date:  1995-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  199-202     Citation Subset:  IM    
Department of Cardiology, Jichi Medical School, Tochigi.
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MeSH Terms
Aneurysm / complications*,  diagnosis,  etiology,  physiopathology
Aortic Diseases / complications*,  diagnosis,  physiopathology
Dilatation, Pathologic / complications,  diagnosis,  physiopathology
Pulmonary Artery* / radiography
Pulmonary Valve Stenosis / complications*,  diagnosis,  physiopathology

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