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Ann Thorac Surg 2001;71:727-729
© 2001 The Society of Thoracic Surgeons

Case report

Endovascular stent graft treatment of a pulmonary artery pseudoaneurysm

Robert L. Hannan, MDa, Kagami Miyaji, MDa, Redmond P. Burke, MDa, Evan M. Zahn, MDa

a Divisions of Cardiology and Cardiovascular Surgery, Miami Children’s Hospital, Miami, Florida, USA

Accepted for publication April 5, 2000.

Address reprint requests to Dr Hannan, Division of Cardiovascular Surgery, Miami Children’s Hospital, 3200 SW 60th Ct, Suite 102, Miami, FL, USA 33155
e-mail: rhannan001{at}aol.com

A 5-year-old girl with pulmonary atresia, ventricular septal defect, hypoplastic pulmonary arteries, and multiple pulmonary artery reconstructive procedures presented with an enlarging pulmonary artery pseudoaneurysm. A previous attempt to occlude the aneurysm was unsuccessful and the aneurysm continued to enlarge. We describe the percutaneous placement of an endovascular stent graft to occlude the aneurysm. This novel use of a covered graft effectively treated a potentially lethal problem without reoperative thoracotomy or sternotomy.




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