Surgical approach to a mycotic aneurysm of the pulmonary artery presenting with hemoptysis - A case report and a review of the literature

Leila Louise Benhassen; Anette Højsgaard; Kim Allan Terp; Frank Vincenzo de Paoli

doi:10.1016/j.ijscr.2018.07.029

Surgical approach to a mycotic aneurysm of the pulmonary artery presenting with hemoptysis - A case report and a review of the literature

Int J Surg Case Rep. 2018:50:92-96. doi: 10.1016/j.ijscr.2018.07.029. Epub 2018 Jul 31.

Authors

Leila Louise Benhassen¹, Anette Højsgaard², Kim Allan Terp², Frank Vincenzo de Paoli³

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Palle-Juul Jensens Boulevard 99, DK-8200, Aarhus N, Denmark. Electronic address: benhassen@live.dk.
² Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Palle-Juul Jensens Boulevard 99, DK-8200, Aarhus N, Denmark.
³ Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Palle-Juul Jensens Boulevard 99, DK-8200, Aarhus N, Denmark; Department of Biomedicine, Aarhus University, Vennelyst Boulevard 4, DK-8000, Aarhus C, Denmark.

Abstract

Introduction: Mycotic aneurysms of the pulmonary arteries are very rare and have high mortality. Risk groups are intravenous drug users and patients with congenital heart disorders. The surgical approach varies due to a limited number of reported cases.

Presentation of case: We present a case of a mycotic aneurysm of the right pulmonary artery in a 56-year old man presenting with recurrent pneumonias, weight loss and hemoptysis.

Discussion: There is often a diagnostic delay because of non-specific symptoms mimicking more common disorders. Treatment strategies include conservative management, surgery and endovascular treatment.

Conclusion: This report demonstrates a rare case of aneurysm of the pulmonary artery presenting with hemoptysis. For rapidly progressing proximal aneurysms of the pulmonary arteries, the midline surgical approach is recommended.

Keywords: Aneurysm; Case report; Hemoptysis; Midline surgical approach; Pulmonary artery.