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(Circulation. 2003;107:2280.)
© 2003 American Heart Association, Inc.

Images in Cardiovascular Medicine

Huge Calcified Pulmonary Arterial Aneurysm

Wen-Shiann Wu, MD

From the Division of Cardiology, Chi-Mei Foundation Hospital, Tainan, Taiwan.

Correspondence and reprint requests to Wen-Shiann Wu, MD, Chi-Mei Foundation Hospital, Division of Cardiology, No. 901, Chung-Hwa Road, Yung-Kang City, Tainan, Taiwan. E-mail wu531027@seed.net.tw

An extract of the first 100% of the full text is provided, because this article has no abstract.

A71-year-old woman presented with dyspnea on exertion for one year. On auscultation, a grade 3/6 systolic murmur was heard at the upper sternal border. Chest radiographs (Figure 1, A and B) revealed a huge calcified lesion in the left lung field (arrows). Chest computerized tomographic scan image (Figure 2) showed a huge saccular aneurysm (5x6x12 cm) of the main pulmonary trunk with calcified wall (arrow). The patient’s condition is stable after one and a half years of medical therapy.

View larger version (89K): [in this window] [in a new window]   Figure 1. Chest radiographs (posteroanterior [A] and lateral [B] views) showing a huge calcified lesion in the left lung field (arrows).

View larger version (100K): [in this window] [in a new window]   Figure 2. Chest computerized tomographic scan image showing a huge calcified lesion (arrow) originating from the pulmonary artery. RPA indicates right pulmonary artery; AO, aorta.

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke’s Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.