Adult presentation of combined unilateral atresia of the right proximal pulmonary artery and left patent ductus arteriosus: case report and embryological considerations.
We report on a rare case of combined unilateral atresia of the proximal right pulmonary artery (PA) and left patent ductus arteriosus (PDA). A 46 year-old female patient with known PDA and associated advanced pulmonary arterial hypertension presented with progressive hemoptysis and increasing exertional dyspnea. Computed tomography of the chest proved the presence of the known PDA but surprisingly failed to demonstrate an extrapulmonary proximal right PA. We show the imaging features and discuss the embryological background of this rare congenital cardiovascular malformation.
Deutsch
Marcus-André
MA
Thieme
Sven F
SF
Hinterseer
Martin
M
Johnson
Thorsten R C
TR
Pfosser
Achim
A
Reichart
Bruno
B
Nikolaou
Konstantin
K
Behr
Jürgen
J
D000367:Age Factors; D003937:Diagnosis, Differential; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000175:diagnosis* / Q000196:embryology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000196:embryology*; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000196:embryology