Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis

Introduction: Unilateral pulmonary artery agenesis (UPAA) is a rare congenital malformation of the pulmonary artery due to agenesis of the sixth aortic arch during embryogenesis. Diagnosis can be challenging due to variable clinical presentations. Case: A 29-year-old female at third trimester of twi...

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Main Authors: Yen Shen Wong, Zakhirati Zainol Abidin, Aisya Natasya Musa, Roqiah Fatmawati Abdul Kadir, Bushra Johari
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007123000291
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author Yen Shen Wong
Zakhirati Zainol Abidin
Aisya Natasya Musa
Roqiah Fatmawati Abdul Kadir
Bushra Johari
author_facet Yen Shen Wong
Zakhirati Zainol Abidin
Aisya Natasya Musa
Roqiah Fatmawati Abdul Kadir
Bushra Johari
author_sort Yen Shen Wong
collection DOAJ
description Introduction: Unilateral pulmonary artery agenesis (UPAA) is a rare congenital malformation of the pulmonary artery due to agenesis of the sixth aortic arch during embryogenesis. Diagnosis can be challenging due to variable clinical presentations. Case: A 29-year-old female at third trimester of twin pregnancy presented with massive hemoptysis. Computed tomography angiogram (CTA) showed unilateral absence of the right pulmonary artery with multiple dilated tortuous bronchial arteries supplying the right lung. Selective embolization of the bronchial artery was performed post-partum. Conclusion: Clinicians should have a high clinical suspicion of collateral artery bleeding in patients who present with unexplained hemoptysis and typical UPAA radiographic findings.
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spelling doaj.art-11607810c13a410eb2c43e29d3e60ace2023-05-07T04:16:46ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0143101834Unilateral pulmonary artery agenesis: An unusual cause of hemoptysisYen Shen Wong0Zakhirati Zainol Abidin1Aisya Natasya Musa2Roqiah Fatmawati Abdul Kadir3Bushra Johari4Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia; Corresponding author.Department of Radiology, Hospital Selayang, Batu Caves, MalaysiaFaculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, MalaysiaDepartment of Radiology, Universiti Teknologi MARA, Sungai Buloh, MalaysiaDepartment of Radiology, Universiti Teknologi MARA, Sungai Buloh, MalaysiaIntroduction: Unilateral pulmonary artery agenesis (UPAA) is a rare congenital malformation of the pulmonary artery due to agenesis of the sixth aortic arch during embryogenesis. Diagnosis can be challenging due to variable clinical presentations. Case: A 29-year-old female at third trimester of twin pregnancy presented with massive hemoptysis. Computed tomography angiogram (CTA) showed unilateral absence of the right pulmonary artery with multiple dilated tortuous bronchial arteries supplying the right lung. Selective embolization of the bronchial artery was performed post-partum. Conclusion: Clinicians should have a high clinical suspicion of collateral artery bleeding in patients who present with unexplained hemoptysis and typical UPAA radiographic findings.http://www.sciencedirect.com/science/article/pii/S2213007123000291Unilateral pulmonary artery agenesisHemoptysisBronchial artery aneurysm
spellingShingle Yen Shen Wong
Zakhirati Zainol Abidin
Aisya Natasya Musa
Roqiah Fatmawati Abdul Kadir
Bushra Johari
Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
Respiratory Medicine Case Reports
Unilateral pulmonary artery agenesis
Hemoptysis
Bronchial artery aneurysm
title Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
title_full Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
title_fullStr Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
title_full_unstemmed Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
title_short Unilateral pulmonary artery agenesis: An unusual cause of hemoptysis
title_sort unilateral pulmonary artery agenesis an unusual cause of hemoptysis
topic Unilateral pulmonary artery agenesis
Hemoptysis
Bronchial artery aneurysm
url http://www.sciencedirect.com/science/article/pii/S2213007123000291
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