Isolated unilateral absence of pulmonary artery mimicking chronic pulmonary embolism at chest X-ray: Multidetector-row CT angiographic findings

Luigi Camera, Mario Fusari, Milena Calabrese, Cesare Sirignano, Lucio Catalano, Alessandro Santoro, Maurizio Galderisi, Marco Salvatore

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)845-849
Number of pages5
JournalClinical Imaging
Volume36
Issue number6
DOIs
Publication statusPublished - Nov 2012

Keywords

  • Chest X-ray
  • Chronic pulmonary embolism
  • Echocardiography
  • Isolated unilateral absence of pulmonary artery
  • Multidetector-row computed tomography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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