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Chronic inflammatory pulmonary artery lesion causing right pulmonary artery stenosis 15 years post Blalock-Taussig shunt ligation.
- Source :
-
BMJ case reports [BMJ Case Rep] 2023 Oct 04; Vol. 16 (10). Date of Electronic Publication: 2023 Oct 04. - Publication Year :
- 2023
-
Abstract
- Discrete central endovascular pulmonary arterial lesions raise clinical concern for malignancy such as primary pulmonary artery sarcoma. We present a case of a female in her late teens who had an obstructive mid right pulmonary artery lesion found on follow-up imaging 15 years after Tetralogy of Fallot repair. The lesion was in the vicinity of a previously ligated Blalock-Taussig shunt and causing right PA stenosis with delayed perfusion to the right lung, and a flow-related distal left PA aneurysm. The lesion was excised and confirmed histologically to be inflammatory in nature. Intraoperative microbiology demonstrated growth of the Kytococcus species, and she was managed with 6 weeks of intravenous antibiotics, with a full recovery.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adolescent
Humans
Female
Pulmonary Artery diagnostic imaging
Pulmonary Artery surgery
Constriction, Pathologic etiology
Constriction, Pathologic surgery
Lung
Stenosis, Pulmonary Artery diagnostic imaging
Stenosis, Pulmonary Artery etiology
Stenosis, Pulmonary Artery surgery
Tetralogy of Fallot complications
Tetralogy of Fallot surgery
Blalock-Taussig Procedure adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 16
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 37793846
- Full Text :
- https://doi.org/10.1136/bcr-2022-254103