Pulmonary artery occlusion from tuberculous lymphadenopathy in a child.
Occlusion of the pulmonary artery is a rare complication of mediastinal tuberculosis. We report on a 10-year-old girl who presented with a tuberculous pericardial effusion in whom subsequent imaging showed a totally occluded right pulmonary artery from tuberculous lymphadenopathy. Diagnosis was confirmed by polymerase chain reaction from a lymph node biopsy. Failure of medical therapy necessitated surgical reconstruction of her right pulmonary artery. Postoperatively she has normal perfusion of the right lung and normal lung function.
Equi
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Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield National Health Service Trust, London, UK. a.equi@rbh.nthames.nhs.uk
Redington
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Rosenthal
M
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Taylor
G M
GM
Jaswon
M
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Bush
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D001157:Arterial Occlusive Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000150:complications*; D011651:Pulmonary Artery / Q000473:pathology* / Q000601:surgery; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000150:complications*