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Hemoptizi ile Bavuran Yetikin Bir Hastada Sa Pulmoner Arter Proksimalinde Kesinti [Respir Case Rep]
Respir Case Rep. 2018; 7(2): 54-58 | DOI: 10.5505/respircase.2018.06978

Hemoptizi ile Bavuran Yetikin Bir Hastada Sa Pulmoner Arter Proksimalinde Kesinti

Mustafa Belal Hafeez Chaudhry1, Kumail Khandwala1, Wasim Ahmed Memon1, Taha Sheikh2, Tanveer Ul Haq1, Muhammad Arif Saeed1
1Aga Khan niversitesi, Radyoloji Anabilim Dal, Karachi, Pakistan
2Dow Salk Bilimleriniversitesi, tp Fakltesi, Karachi, Pakistan

Krk iki yanda kadn hasta, nceki gnden beri 3 kez hemoptizi ata ve dispne yaknmas ile bavurdu. Akcier grafisinde sa akcierde volm kayb ve hafif periferal fibrozis vard. Yksek rezolsyonlu bilgisayarl tomografide bu bulgulara ilave olarak sa pulmoner arterin olmad belirlendi. Bu bilgi djijtal subtraction anjiografi ile doruland ve sa akcierin sadece sistemik dolamdan beslendii grld. Konvansiyonel angiografide herhangi bir ekstra damarlanma veya aktif kanama oda grlmedi. Pulmoner enfarkt riski nedeniyle ampirik embolizasyon yaplmad. Hasta semptomatik ve konservatif olarak tedavi edildi. Pulmoner arter anomalilerinin ayrc tansnda bu durum nemli olup grntleme yntemleri ile pulmoner damarsal obstrksiyonlarn nedenleri aratrlmaldr.

Anahtar Kelimeler: pulmoner arter kesintisi, yksek znrlkl bilgisayarl tomografi, dijital anjiografi

Proximal Interruption of Right Pulmonary Artery in an Adult Patient Presenting with Hemoptysis

Mustafa Belal Hafeez Chaudhry1, Kumail Khandwala1, Wasim Ahmed Memon1, Taha Sheikh2, Tanveer Ul Haq1, Muhammad Arif Saeed1
1Department of Radiology, Aga Khan University, Karachi, Pakistan
2Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

A 42 year old lady presented with dyspnea and 3 episodes of hemoptysis since 1 day. Her chest radiograph revealed mild peripheral fibrosis & volume loss in right lung, subsequent HRCT confirmed the findings with additional diagnosis of absence of the right main pulmonary artery. This was further confirmed on digital subtraction angiography and the right lung was solely supplied by the systemic circulation. The conventional angiography did not demonstrate any active extravasation or blush to suggest active bleeder. Empirical embolization was not attempted due to a risk of pulmonary infarction. Patient was managed symptomatically and conservatively.This condition is important to recognize in the list of differential diagnoses for pulmonary artery abnormalities and any acquired causes of pulmonary vasculature obstruction must be ruled out on imaging modalities.

Keywords: Proximal Interruption of Pulmonary Artery (PIPA), High Resolution Computed Tomography (HRCT), Digital Subtraction Angiography (DSA)

Mustafa Belal Hafeez Chaudhry, Kumail Khandwala, Wasim Ahmed Memon, Taha Sheikh, Tanveer Ul Haq, Muhammad Arif Saeed. Proximal Interruption of Right Pulmonary Artery in an Adult Patient Presenting with Hemoptysis. Respir Case Rep. 2018; 7(2): 54-58

Sorumlu Yazar: Kumail Khandwala, Pakistan
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