Two Cases of Solitary Peripheral Pulmonary Arterial Aneurysm
Hirohisa Inaba1) Shinichiroh Ohta1) Toshihiko Nishimura1) Kazuya Takamochi1) Itaru Ishida1) Takashi Etoh2) Atsuroh Honda2) Hiroyuki Muro3) Yasuyuki Nagashima4)
1)Department of Respiratory Surgery, 2)Department of Respiratory Disease and 3)Department of Pathology, Shizuoka General Hospital, 4-27-1 Kitaandou, Shizuoka, 420-0881, Japan 4)Sena Hospital, 4629-1 Sena, Shizuoka, 420-0911, Japan
We report two very rare cases of solitary peripheral pulmonary arterial aneurysm. Case 1: An 83-year-old man treated for myocardial infarction died of multiple organ failure and hemoptysis. Autopsy disclosed rupture of a pulmonary arterial aneurysm 1.5 cm in diameter in the right A3. Case 2: A 75-year-old man was found to have a pulmonary arterial aneurysm, 3 cm in diameter of the right A1. Surgical treatment was not indicated, because of severe pulmonary emphysema. The aneurysms in these two cases were idiopathic: (1) there were no histologic findings that would implicate specific chronic inflammation, (2) the period from the occurence of secondary pulmonary hypertension to hemoptysis was short, and there was no (3) history of trauma.
pulmonary arterial aneurysm peripheral solitary idiopathic hemoptysis
Received 平成9年8月12日
JJRS, 36(4): 384-388, 1998