Document Detail

Pulmonary artery sarcoma mimicking a pulmonary artery aneurysm.
MedLine Citation:
PMID:  18805195     Owner:  NLM     Status:  MEDLINE    
Pulmonary artery sarcoma is an uncommon neoplasm, and its clinical and radiological presentation usually simulates chronic thromboembolic disease. We present the case of a 77-year-old woman admitted with dyspnea, chest pain, and hemoptysis. A chest computed tomographic scan showed moderate right-sided pleural effusion and a saccular dilatation of the interlobar portion of the right pulmonary artery, which was filled with contrast and surrounded by an irregular soft-tissue attenuation mass, suggesting a ruptured pulmonary artery aneurysm. The patient was operated on. Intraoperatively, a pseudoaneurysm and a solid mass were identified within the oblique fissure around the interlobar artery. Therefore, a right pneumonectomy was performed. Definitive pathologic examination was consistent with pulmonary artery sarcoma. The patient had a good outcome and is free of disease 2 years after surgery.
Ricardo M Terra; Angelo Fernandez; Ricardo H Bammann; Jader J M Junqueira; Vera L Capelozzi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  86     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-22     Completed Date:  2008-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1354-5     Citation Subset:  AIM; IM    
Advanced Thoracic Nucleus, Sírio-Libanes Hospital, São Paulo, Brazil.
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MeSH Terms
Aneurysm, False / diagnosis*,  surgery
Biopsy, Needle
Diagnosis, Differential
Follow-Up Studies
Pneumonectomy / methods
Pulmonary Artery / pathology*
Risk Assessment
Sarcoma / diagnosis,  pathology*,  surgery
Thoracotomy / methods
Tomography, X-Ray Computed / methods
Treatment Outcome
Vascular Neoplasms / diagnosis,  pathology*,  surgery

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