Cardiovascular Surgery and Interventions 2015, Vol 2, Num 1 Page(s): 003-005
Coexistence of pulmonary stenosis and pulmonary artery aneurysm in a young patient: a case report

Anıl Özen, Aytaç Çalışkan, Utku Ünal, Bahadır Aytekin, Erman Kiriş, Boğaçhan Akkaya, Levent Birincioğlu

Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey

Keywords: Pulmonary artery aneurysm; pulmonary artery plication; pulmonary valve replacement; stentless bioprosthesis
A 22-year-old female patient diagnosed with stenosis and regurgitation of the dome-shaped pulmonary valve presented with dyspnea. She also had significant dilation of the pulmonary artery which extended to the left pulmonary hilum. The patient was treated surgically with infundibular myectomy, enlargement of the transannular right ventricular outflow with a pericardial patch, pulmonary valve replacement with a 25 mm stentless bioprosthetic valve and plication of the main pulmonary artery and the left pulmonary artery. We believe that using her own tissue for the reconstruction of the pulmonary artery aneurysm and pulmonary valve replacement through a stentless bioprosthesis with a minimum gradient and full competence to prevent the dilation of the pulmonary artery may be an ideal treatment option.

DOI : 10.5606/e-cvsi.2015.298