Angiosarcoma of the pulmonary trunk mimicking pulmonary thromboembolic disease: A case report

2003 ◽  
Vol 44 (5) ◽  
pp. 504-507 ◽  
Author(s):  
F. T. C. Tschirch ◽  
F. Del Grande ◽  
B. Marincek ◽  
T. A. G. M. Huisman
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Nodules ◽  
Left Pulmonary Artery ◽  
Filling Defect ◽  
Thromboembolic Disease ◽  
Pulmonary Trunk ◽  
X Ray ◽  
Right Pulmonary Artery ◽  
Chest X Ray

We report on a 59-year-old male patient who suffered from dyspnea, cough and hemoptysis. Initial chest X-ray revealed a prominent right pulmonary artery (RPA) and MR imaging showed a “filling defect” within the main pulmonary trunk and RPA indicating pulmonary thromboembolic disease. Despite systemic anticoagulation, symptoms progressed. Follow-up CT showed an enlarging “filling defect” with additional extension into the left pulmonary artery as well as multiple intrapulmonary nodules. Lesion biopsy revealed a pulmonary artery angiosarcoma. Imaging findings are presented. Our case illustrates that pulmonary artery angiosarcoma should be included in the differential diagnosis of pulmonary thromboembolic disease in cases where a) symptoms do not respond to anticoagulation, b) no source of thrombi/emboli can be detected and c) pulmonary nodules/metastases develop on follow-up.

Lobar emphysema due to anomalous aortic origin of the left pulmonary artery

1999 ◽  
Vol 9 (3) ◽  
pp. 327-330 ◽  
Author(s):  
Dale R. Absher ◽  
Vesna Martich Kriss ◽  
Carol M. Cottrill
Keyword(s):  
Pulmonary Artery ◽  
Unusual Case ◽  
Rare Complication ◽  
Left Pulmonary Artery ◽  
Pulmonary Trunk ◽  
Right Pulmonary Artery ◽  
Lobar Emphysema ◽  
Bronchial Compression

AbstractThe unusual case of an infant with aortic origin of the left pulmonary artery is presented. The patient developed a rare complication of lobar emphysema due to bronchial compression from the enlarged right pulmonary artery. Operative anastomosis of the left pulmonary artery to the pulmonary trunk was successful, with subsequent resolution of the lobar emphysema.

scholarly journals Pulmonary Hyalinising Granuloma: A report of two cases

2019 ◽  
Vol 19 (2) ◽  
pp. 157
Author(s):  
Ameen Kamona ◽  
Fatma Al Lawati ◽  
Atheel Kamona ◽  
Nasser Al Busaidi ◽  
Yaqoob Al Mahrooqi ◽  
...  
Keyword(s):  
Male Patient ◽  
Pulmonary Nodules ◽  
Definitive Treatment ◽  
X Ray ◽  
Multiple Pulmonary Nodules ◽  
First Case ◽  
Lung Condition ◽  
Chest X Ray ◽  
X Ray Computed

ABSTRACT: Pulmonary hyalinising granuloma (PHG) is a rare fibrosclerosing inflammatory lung condition of unknown aetiology. It is characterised by solitary or multiple pulmonary nodules that are usually found incidentally while imaging the chest for other reasons. We report two cases of histologically proven PHG diagnosed at the Royal Hospital, Muscat, Oman. The first case was a 71-year-old male patient who presented in 2010 with a dry cough, weight loss and bilateral pulmonary nodules. The second case was a 58-year-old male patient who presented in 2012 and was found to have incidental bilateral pulmonary nodules on chest X-ray. Both patients were started on prednisolone and on follow-up the PHG nodules remained stable. Although there is no definitive treatment, PHG generally has an excellent prognosis.Keywords: Granuloma; X-Ray Computed Tomography; Multiple Pulmonary Nodules; Lung; Case Report; Oman.

scholarly journals Partial Anomalous Left Pulmonary Artery Sling in an Adult

2020 ◽  
Vol 10 ◽  
pp. 5
Author(s):  
Pierre D. Maldjian ◽  
Kevin R. Adams
Keyword(s):  
Pulmonary Artery ◽  
Incidental Finding ◽  
Pulmonary Arteries ◽  
Left Pulmonary Artery ◽  
Pulmonary Trunk ◽  
Pulmonary Artery Sling ◽  
Airway Compression ◽  
Right Pulmonary Artery ◽  
Left Pulmonary Artery Sling ◽  
The Right

We report a case of a partial anomalous left pulmonary artery sling in an adult patient as an incidental finding on computed tomography. There is a normal bifurcation of the pulmonary trunk into right and left pulmonary arteries with anomalous origin of the left upper lobe pulmonary artery from the right pulmonary artery. The anomalous vessel passes between the trachea and esophagus forming a partial left pulmonary artery sling without airway compression.

scholarly journals Brucella tricuspid endocarditis: Case report

2020 ◽  
pp. 06-11
Author(s):  
Lakehal Redha ◽  
Bendjaballah Soumaya ◽  
Khaled Khacha ◽  
Aziza Baya ◽  
Brahami Abdelmallek
Keyword(s):  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Tricuspid Valve ◽  
Left Pulmonary Artery ◽  
Pulmonary Angiography ◽  
Medium Term ◽  
X Ray ◽  
Term Evolution ◽  
Chest X Ray ◽  
Tricuspid Repair

Objectives: Brucella tricuspid endocarditis is a very rare. The diagnostic is made by serology and echocardiography (TTE). This new report case is an opportunity for us to make a reminder of this little-known entity among cardiologists and heart surgeon. Methods: We report the case of 15-year-old children who present persisant fever and dyspnea. The physical exam found asystolic murmur, chest X-ray showed cardiomegaly, TTE demonstrated vegetations in chordate, papillary muscle, infundibulum, and left pulmonary artery with tricuspid insufficiency III, pulmonary angiography: proximal emboli of left pulmonary artery, positives blood culture: Brucella meltiness and serology positive. Excision of tricuspid and pulmonary vegetations and tricuspid repair under cardiopulmonary bypass. Results: The immediate postoperative course was simple. Conclusion: Brucella endocarditis is an uncommon, but serious complication of brucellosis. The tricuspid valve is rarely affected cardiac valve. Due to characteristics of the infection, medical therapy alone is not sufficient in treating the disease and best results are obtained with surgery combination. We describe a case of Brucella endocarditis involving the tricuspid valve suspected in front of the clinical data and the results of serology, confirmed by the culture of the native valves. In association with the medical treatment, management valve surgery lead to a favourable medium-term evolution. Keywords: Brucella endocarditis; Tricuspid; Cardiopulmonary bypass

scholarly journals P1728 Pulmonary hypertension in a pregnant Women - a rare anatomical aetiology

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
J Grade Santos ◽  
F Ferreira ◽  
M Loureiro ◽  
A Almeida ◽  
A Pereira ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Pulmonary Artery Pressure ◽  
Medical Therapy ◽  
Cardiac Mri ◽  
Left Pulmonary Artery ◽  
Severe Pulmonary Hypertension ◽  
Right Pulmonary Artery ◽  
History Of

Abstract A 32 year old female patient, with a medical history of an ill-characterized Pulmonary Arterial Hypertension associated with congenital heart disease, lost in the follow up with no medical therapy, attended an emergency department for a gynecological hemorrhage at 16 weeks of pregnancy. Due to high maternity mortality risk, informed consent was obtained, and termination of pregnancy was performed. She was then referred to our pulmonary hypertension center. At our center she had complains of fatigue with moderate intensity exertion, classified in a class II of the World Health Organization (WHO) classification, but was otherwise asymptomatic, with no history of dyspnea, angina or syncope. There was allusion to a self-limited episode of hemoptysis in the past. On physical examination she had an increased pulmonary component of the second heart sound, continuous heart murmur in left sternal border and no cyanosis (O2 peripheral saturation in the upper and lower limbs of 99% at room air). The performed echocardiograms (both transthoracic and transesophageal) showed an estimated systolic pulmonary artery pressure of 120 mmHg with severe right ventricular hypertrophy and systolic dysfunction. There was dilatation of the trunk and right pulmonary artery. The left pulmonary artery was not seen. Biochemical evaluation and viral serologies were unremarkable. The pulmonary function tests and the arterial blood gases were normal. Cardiac MRI demonstrated the presence of a right aortic arch and a right patent arterial duct. An anomalous origin of the left pulmonary artery from the ascending thoracic aorta could be noted. Associated congenital cardiac defects were excluded. A right heart catheterization confirmed the presence of severe pulmonary hypertension with mean pulmonary artery pressure of 86 mmHg and Pulmonary vascular resistance of 11 Wood Units. A large persistent arterial duct to the right pulmonary artery was confirmed with persistent left to right shunt. The left pulmonary artery was visualized when injection was performed in the aortic root. Coronary arteries were normally implanted. The patient was started on Sildenafil and Bosentan (later replaced by Macitentan due to hepatic toxicity). After 3 years of follow up, there was an improvement in symptoms and in the 6 minutes walking test, remaining in a low risk category and on a WHO class I. This case reports a very rare congenital abnormality identified in an adult patient. Despite the complex anatomy and severe pulmonary hypertension, the patient is reasonably well under medical therapy and close follow up. Abstract P1728 Figure. Cardiac MRI Cine Sequences

Repair of Anomalous Pulmonary Artery with Interposition Graft: Midterm Results

2005 ◽  
Vol 13 (3) ◽  
pp. 217-221 ◽  
Author(s):  
Eli Levy ◽  
Eli Milgalter ◽  
Amiram Nir ◽  
Azaria JJT Rein
Keyword(s):  
Pulmonary Artery ◽  
Main Pulmonary Artery ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
Midterm Results ◽  
Interposition Graft ◽  
Right Pulmonary Artery ◽  
Anomalous Pulmonary Artery ◽  
Echocardiographic Findings

Anomalous pulmonary artery arising from the aorta is a rare congenital anomaly. The midterm results of repair of this malformation by Gore-Tex graft interposition were examined in 5 patients: 3 with anomalous right pulmonary artery and 2 with anomalous left pulmonary artery from the ascending aorta. Echocardiography was adequate in 4 cases for diagnosis, planning the operation, and follow-up. Angiography was needed for diagnosis in one case where the echocardiographic findings were unclear. The mean follow-up period was 4 years. One patient with tracheoesophageal fistula and cardiac malformation died 2 months after the operation due to multi-organ failure. Three patients needed re-operation because of graft narrowing, and one was without problems 5.2 years postoperatively. In anomalous pulmonary artery from the ascending aorta, repair should be performed as early as possible to prevent pulmonary hypertensive changes. When the anomalous pulmonary artery cannot be anastomosed directly to the main pulmonary artery, an interposition graft can be placed safely without cardiopulmonary bypass. With appropriate follow-up, this can be a satisfactory solution, although it carries the risk of re-operation due to graft narrowing.

scholarly journals Chest X-ray findings monitoring COVID-19 disease course and severity

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Rabab Yasin ◽  
Walaa Gouda
Keyword(s):  
Mortality Rate ◽  
Pulmonary Nodules ◽  
Respiratory Illness ◽  
Disease Assessment ◽  
Common Finding ◽  
Disease Course ◽  
Radiographic Findings ◽  
X Ray ◽  
Chest X Ray

Abstract Background Coronavirus related respiratory illness usually manifests clinically as pneumonia with predominant imaging findings of an atypical or organizing pneumonia. Plain radiography is very helpful for COVID-19 disease assessment and follow-up. It gives an accurate insight into the disease course. We aimed to determine the COVID-19 disease course and severity using chest X-ray (CXR) scoring system and correlate these with patients’ age, sex, and outcome. Results In our study, there were 350 patients proven with positive COVID-19 disease; 220 patients (62.9%) had abnormal baseline CXR and 130 patients (37.1%) had normal baseline CXR. During follow-up chest X-ray studies, 48 patients (13.7%) of the normal baseline CXR showed CXR abnormalities. In abnormal chest X-ray, consolidation opacities were the most common finding seen in 218 patients (81.3%), followed by reticular interstitial thickening seen in 107 patients (39.9%) and GGO seen in 87 patients (32.5%). Pulmonary nodules were found 25 patients (9.3%) and pleural effusion was seen in 20 patients (7.5%). Most of the patients showed bilateral lung affection (181 patients, 67.5%) with peripheral distribution (156 patients, 58.2%) and lower zone affection (196 patients, 73.1%). The total severity score was estimated in the baseline and follow-up CXR and it was ranged from 0 to 8. The outcome of COVID-19 disease was significantly related to the age, sex, and TSS of the patients. Male patients showed significantly higher mortality rate as compared to the female patients (P value 0.025). Also, the mortality rate was higher in patients older than 40 years especially with higher TSS. Conclusion Radiographic findings are very good predictors for assessing the course of COVID-19 disease and it could be used as long-term consequences monitoring.

scholarly journals Right Pulmonary Artery Aneurysm Mimicking Tumor on Chest X-Ray in Patient with Eisenmenger Syndrome

2018 ◽  
Vol 49 (1) ◽  
pp. 61-64
Author(s):  
Amra Macić– Džanković ◽  
◽  
Lamija Pojskić ◽  
Belma Pojskić ◽  
Fuad Džanković ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm ◽  
Eisenmenger Syndrome ◽  
X Ray ◽  
Right Pulmonary Artery ◽  
Chest X Ray

scholarly journals Case Report: Ostium secundum atrial septal defect with unilateral lung hypervascularity revealing associated right pulmonary artery stenosis

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1379
Author(s):  
Mehdi Slim ◽  
Malick Bodian ◽  
Elies Neffati ◽  
Essia Boughzela
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Pulmonary Artery ◽  
Septal Defect ◽  
Artery Stenosis ◽  
Pulmonary Artery Stenosis ◽  
X Ray ◽  
Right Pulmonary Artery ◽  
Chest X Ray ◽  
The Right

Background: Atrial septal defect (ASD) is often an isolated disease, but its association with other abnormalities can make diagnosis challenging. Careful analysis of simple complementary exams can help precise anatomical diagnosis ensuring suitable treatment. The aim of this article is to report, from a case report and literature review, diagnostic challenges and the contribution of simple complementary exams, such as chest X-ray, for the diagnostic orientation of an ASD associated with peripheral pulmonary artery stenosis, as well as therapeutic particularities. Case report: We report the case of a girl born in 2007, with history of dyspnoea and recurrent bronchitis in whom a loud systolic murmur was detected fortuitously at the age of 2 years. Her clinical examination was otherwise normal. The electrocardiogram recorded sinus rhythm, incomplete right bundle branch block, and right ventricular hypertrophy. Chest X-ray showed moderate cardiomegaly and hypervascularity of the left lung field contrasting with reduced blood flow to the right lung. Doppler echocardiography revealed a wide ostium secundum ASD, right chamber volume overload and right pulmonary artery stenosis. The latter was confirmed by CT angiography and right cardiac catheterization.  The patient underwent percutaneous right pulmonary artery dilation with stent placement. Control chest X-ray noted bilateral hypervascularity of the lung. The ASD was closed percutaneously one year later. The outcome was uneventful. Conclusion: The combination of ASD with pulmonary artery stenosis limits pulmonary hyperflow. In our case, this stenosis was tight and sat on the right branch of the pulmonary artery reducing significantly blood flow to the ipsilateral lung. Careful chest X-ray analysis may suggest diagnosis, which can be confirmed by ultrasounds and if necessary, by further examination, allowing treatment adaptation. To our knowledge, this association is very rare and no similar case has been reported.

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