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...

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Main Authors: Ryan Offman, Veronica Wilson, Nicholas Adams
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2022-05-01
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.
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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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AT nicholasadams adultpresentationofanomalouspulmonaryarteryfromthedescendingaortaararecauseofexertionalchestpain