Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain
Case Presentation: A 20-year-old female presented to the emergency department for evaluation of exertional, right-sided chest pain. The patient underwent a computed tomography angiogram of her chest as part of her workup, demonstrating the right lower-lobe pulmonary artery arising from the abdominal...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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eScholarship Publishing, University of California
2022-05-01
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Series: | Clinical Practice and Cases in Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/1z57m465 |
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author | Ryan Offman Veronica Wilson Nicholas Adams |
author_facet | Ryan Offman Veronica Wilson Nicholas Adams |
author_sort | Ryan Offman |
collection | DOAJ |
description | Case Presentation: A 20-year-old female presented to the emergency department for evaluation of exertional, right-sided chest pain. The patient underwent a computed tomography angiogram of her chest as part of her workup, demonstrating the right lower-lobe pulmonary artery arising from the abdominal aorta. Discussion: Anomalous pulmonary arterial supply is exceedingly rare. In adult patients, it is likely to be found incidentally during workup for more common medical conditions. Symptoms may include chest pain, exertional dyspnea, or hemoptysis. The high pressure of systemic blood in a low-pressure pulmonary system can result in right heart strain, pulmonary hypertension, and high-output cardiac failure. |
first_indexed | 2024-04-13T20:04:53Z |
format | Article |
id | doaj.art-57ac558871344c019e4d501524db2cc8 |
institution | Directory Open Access Journal |
issn | 2474-252X |
language | English |
last_indexed | 2024-04-13T20:04:53Z |
publishDate | 2022-05-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
spelling | doaj.art-57ac558871344c019e4d501524db2cc82022-12-22T02:32:01ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2022-05-016210.5811/cpcem.2022.2.55637cpcem-6-189Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest PainRyan OffmanVeronica WilsonNicholas AdamsCase Presentation: A 20-year-old female presented to the emergency department for evaluation of exertional, right-sided chest pain. The patient underwent a computed tomography angiogram of her chest as part of her workup, demonstrating the right lower-lobe pulmonary artery arising from the abdominal aorta. Discussion: Anomalous pulmonary arterial supply is exceedingly rare. In adult patients, it is likely to be found incidentally during workup for more common medical conditions. Symptoms may include chest pain, exertional dyspnea, or hemoptysis. The high pressure of systemic blood in a low-pressure pulmonary system can result in right heart strain, pulmonary hypertension, and high-output cardiac failure.https://escholarship.org/uc/item/1z57m465 |
spellingShingle | Ryan Offman Veronica Wilson Nicholas Adams Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain Clinical Practice and Cases in Emergency Medicine |
title | Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain |
title_full | Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain |
title_fullStr | Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain |
title_full_unstemmed | Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain |
title_short | Adult Presentation of Anomalous Pulmonary Artery from the Descending Aorta: A Rare Cause of Exertional Chest Pain |
title_sort | adult presentation of anomalous pulmonary artery from the descending aorta a rare cause of exertional chest pain |
url | https://escholarship.org/uc/item/1z57m465 |
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