Treatement Solution By Tomic Et Al.

artery disease verified by coronary angiography. Transthoracic and transoesophageal echocardiography and computed tomography (MDCT) were performed. Electrocardiogram and physical examination were normal. Chest X-ray suggested a discrete pronounced shadow in the projection of the left hilus. Transthoracic two-dimensional echocardiography showed that the left and right heart chambers are within normal size and function, and also showed competent valves and turbulent colour flow Doppler at the level of the pulmonary valve without high pressure gradient or pulmonary regurgitation with vague contours of the wall of the PA. Transoesophageal echocardiography showed that the main trunk of the PA was dilated up to 4.7 cm. Dimension of the right branch was 2.1 cm and it was very difficult to visualize the wall of the left branch, which was 5.3 cm in aneurysmatic form. MDCT showed that the main trunk of PAwas 4.6 cm, the right branch PA measured 2.35 cm and the left branch PA measured 5.26 cm (Fig. 1). Preoperative coronary angiography revealed stenosis of the left main coronary artery up to 40% subocclusion of the left anterior descending coronary artery and right coronary artery. Inflammatory, infectious aetiologies and collagen vascular disease were excluded by laboratory tests. There were no history data for arthritis or obvious lesions of Behcet’s disease. The treatment of choice for this aneurysm of the PA is published below.