1. Isolated unilateral absence of pulmonary artery mimicking chronic pulmonary embolism at chest X-ray: multidetector-row CT angiographic findings
- Author
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Marco Salvatore, Maurizio Galderisi, Lucio Catalano, Mario Fusari, Luigi Camera, Alessandro Santoro, Milena Calabrese, Cesare Sirignano, Camera, Luigi, Fusari, M, Calabrese, M, Sirignano, C, Catalano, L, Santoro, A, Galderisi, Maurizio, and Salvatore, Marco
- Subjects
Male ,medicine.medical_specialty ,Pulmonary Artery ,Chronic pulmonary embolism ,Diagnosis, Differential ,Isolated unilateral absence of pulmonary artery ,medicine.artery ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Hydronephrosis ,Computed tomography angiography ,medicine.diagnostic_test ,business.industry ,Chest X-ray ,Angiography ,Multidetector-row computed tomography ,Middle Aged ,medicine.disease ,Echocardiography ,Male patient ,Radiological weapon ,Pulmonary artery ,Radiography, Thoracic ,Radiology ,Single episode ,business ,Pulmonary Embolism ,Tomography, X-Ray Computed - Abstract
Unilateral absence of pulmonary artery (UAPA) is a rare congenital anomaly which can seldom be isolated (1:200,000) and incidentally discovered in adulthood. We describe the case of a 54-year-old male patient who was found to have isolated UAPA (IUAPA) during the clinical and radiological investigation of a single episode of hemoptysis. Although abnormal, chest X-ray findings differed considerably from those previously reported and the diagnosis was only achieved by multidetector-row computed tomography angiography and later confirmed by bed-side echocardiography. Further clinical and instrumental investigation revealed systemic hypertension (158/95 mmHg) and bilateral mild hydronephrosis which both remitted after transurethral prostatic adenomyomectomy. (C) 2012 Elsevier Inc. All rights reserved.
- Published
- 2011