Missed diagnosis of atresia of the right pulmonary artery in woman with left-sided pneumothorax.
Isolated pulmonary atresia is an uncommon condition, which can go undiagnosed for a long time in asymptomatic patients. Sometimes, diagnosis can be made at pregnancy due to respiratory symptoms. There is no known increased risk of pneumothorax. We here present a case where a second-time pregnant woman with an unknown atresia of the right pulmonary artery received a left-sided pneumothorax. The diagnosis was initially missed in spite of adequate imaging and the condition progressed to respiratory stop. We describe the course of diagnostics and the chosen strategy of treatment.
Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Copenhagen, Denmark hanna.s.holmgren@gmail.com.|Department of Cardiothoracic Surgery, Rigshospitalet Blegdamsvej, København Ø, Denmark.
Hanna H
HH
Dagnegård
Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Copenhagen, Denmark.
Philip
P
Ryom
D000328:Adult; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000000981:diagnostic imaging; D018633:Pulmonary Atresia / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D014057:Tomography, X-Ray Computed
Missed diagnosis; Pneumothorax; Pulmonary artery atresia