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Rupture of a mediastinal collateral aneurysm associated with unilateral absence of pulmonary artery.


ABSTRACT: Isolated unilateral absence of pulmonary artery is a rare congenital malformation and often asymptomatic in adults. However, aneurysm formation in the aortopulmonary collateral vessels carries a potential risk of life-threatening hemorrhage. This case report describes a 79-year-old woman who presented with rupture of a mediastinal collateral aneurysm associated with isolated unilateral absence of pulmonary artery. We discuss the clinical course, including vascular morphology changes, and subsequent endovascular treatment. Notably, this case demonstrates the rupture of a de novo collateral aneurysm rather than a preexisting one.

SUBMITTER: Tatsumoto S 

PROVIDER: S-EPMC12475422 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature

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Rupture of a mediastinal collateral aneurysm associated with unilateral absence of pulmonary artery.

Tatsumoto Shota S   Kobayashi Kensuke K   Mizuno Yusuke Y   Nagata Takeshi T  

Journal of vascular surgery cases and innovative techniques 20250821 6


Isolated unilateral absence of pulmonary artery is a rare congenital malformation and often asymptomatic in adults. However, aneurysm formation in the aortopulmonary collateral vessels carries a potential risk of life-threatening hemorrhage. This case report describes a 79-year-old woman who presented with rupture of a mediastinal collateral aneurysm associated with isolated unilateral absence of pulmonary artery. We discuss the clinical course, including vascular morphology changes, and subsequ  ...[more]

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