Pulmonary artery stenosis caused by a large aortic arch pseudoaneurysm detected 10 years after a minor trauma

Pulmonary artery stenosis caused by a large aortic arch pseudoaneurysm detected 10 years after a minor trauma

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Pseudoaneurysm of aorta is a rare condition usually seen after aortic surgeries or serious accidents.Here we report a 60 years old man without any previous medical condition who presented ngetikin with non-specific symptoms and underwent different investigations for more than 1 year, until the presence of a continuous murmur raised suspicion toward his cardiovascular system.In echocardiographic and computed tomography (CT) angiographic studies a large pseudoaneurysm of aortic arch with compression effect on pulmonary artery was detected.At this stage he remembered having suffered a minor trauma 10 years ago.

He finally underwent operation and his aortic wall was repaired successfully with a patch.This case highlights the importance of neflintw-r6mpw thorough history taking and physical examination in patients irrespective of symptoms and high index of suspicion to detect this life-threatening condition.