Idiopathic pulmonary artery aneurysm.

A 60-year-old male being treated for chronic venous stasis ulcers presented with an asymptomatic pulmonary artery aneurysm involving the main pulmonary trunk and extending into both pulmonary arteries. He underwent successful resection of the aneurysm, and his chronic ulcerations recovered spontaneously. Surgical treatment of pulmonary artery aneurysm could be found in reports from Wilms and Sauerbruch dating from the early twenties of the last century. In 1950, Blades et al. reported a ligation of an aneurysmatic pulmonary artery with lung resection. However, the role of surgery in main pulmonary artery aneurysms is still not well defined. In this report, we describe the management of an extensive pulmonary artery aneurysm in a patient with chronic venous stasis ulcers.