Severe septal hypertrophy: is it necessarily a contraindication for the transcatheter implantation of an Edwards-Sapien prosthesis?

Rev Esp Cardiol. 2010;63(2):240-52 241 aneurysm.4,5 High resolution computerized tomography (CT) or resonance angiography permit evaluation of the trunk and its branches.5,6 Etiologies like syphilis, tuberculosis, and collagenopathies should also be considered. Generally, the distinctive pathology of aortic aneurysms leads to a different management approach.4 Even if it is unclear, surgery is indicated (prosthesis, reconstruction with pericardium, or arteroplasty) if the risk of rupture exists.7 Patients with <60 mm aneurysms, low pulmonary pressure, absence of congenital or acquired significant right shunt or not associated with collagenopathies are considered at low risk and conservative management is preferred, as in our patient.1-3 To conclude, pulmonary aneurysms are extremely rare; they are frequently found in chest x-rays by chance. High resolution CT and resonance angiography are fundamental to diagnosis. Surgery is indicated in patients at risk of dissection or rupture.