A clinical case of resection of a giant aneurysm of the right superior pulmonary vein
Andrey V. Pustovoitov,
Gennady A. Usik,
Pavel E. Erakhtin,
Valery A. Kuznetsov,
Artur V. Myznikov,
Georgy I. Kaptyuk,
Evgeny A. Bilous,
Alexander A. Pevnev,
Irina V. Utmanova Abstract
Aneurysms are unstable structures: they increase in size over time, leading to increased wall tension according to Laplace's law. This can cause serious complications, including aneurysm rupture, and is life-threatening. In such cases, surgical treatment is the optimal solution.
Aim: to demonstrate the feasibility of a surgical approach for treating a giant aneurysm of the right superior pulmonary vein.
Materials and methods: patient P., 63 y.o., presented to the outpatient department of the Regional Clinical Hospital with complaints of shortness of breath during moderate physical activity and walking 100-200 meters. A previous chest X-ray revealed a paracardiac mass on the right. Based on further examination using MSCT pulmonary angiography, an aneurysm up to 45.6 mm in size was diagnosed at the orifice of the right superior pulmonary veins, which was also confirmed by cardiac MRI.
Results: the patient underwent surgery, which included resection of the aneurysm with circumferential angioplasty of the distal orifices of the superior pulmonary veins and the proximal orifice into the left atrium using an autologous pericardial patch. Cardiopulmonary bypass time was 90 minutes. Aortic cross-clamp time was 63 minutes. The patient was transferred to the intensive care unit without inotropic support. Extubation was performed 2 hours after surgery. The ICU stay lasted 2 days. Total blood loss via drains system during the ICU stay was 350 ml. The early postoperative period was uneventful. The patient was discharged from the hospital on the 11th day after surgery without signs of circulatory failure.
Conclusions. Surgical treatment may be the optimal solution for the correction of a giant superior pulmonary vein aneurysm.
About the Authors
Andrey V. PustovoitovRussian Federation
Andrey V. Pustovoitov – MD, Chief External Specialist in Cardiovascular Surgery of the Ministry of Health of the Krasnoyarsk Region, Head of the Cardiac Surgery Department
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Gennady A. Usik
Russian Federation
Gennady A. Usyk – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Pavel E. Erakhtin
Russian Federation
Pavel E. Erakhtin – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Valery A. Kuznetsov
Russian Federation
Valery A. Kuznetsov – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Artur V. Myznikov
Russian Federation
Artur V. Myznikov – MD, PhD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Georgy I. Kaptyuk
Russian Federation
Georgy I. Kaptyuk – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Evgeny A. Bilous
Russian Federation
Evgeny A. Bilous – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Alexander A. Pevnev
Russian Federation
Alexander A. Pevnev – MD, Cardiovascular Surgeon
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
Irina V. Utmanova
Russian Federation
Irina V. Utmanova – MD, Cardiologist, Cardiac Surgery Department
3A Partizana Zheleznyaka St., Krasnoyarsk, 660022
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Review
For citations:
Pustovoitov A.V., Usik G.A., Erakhtin P.E., Kuznetsov V.A., Myznikov A.V., Kaptyuk G.I., Bilous E.A., Pevnev A.A., Utmanova I.V. A clinical case of resection of a giant aneurysm of the right superior pulmonary vein. Minimally Invasive Cardiovascular Surgery. 2025;1(3):103-107.
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