Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM

A 58-year-old man was send to our hospital for embolisation of an arteriovenous (AV) malformation of the right lung. This diagnosis was based on a CT made in the referring hospital. Diagnostic pulmonary angiography with catheter placed in the right main pulmonary artery (Fig. A) did not show an AV-m...

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Main Authors: J Toirkens, B Op de Beeck, M Spinhoven, A Snoeckx, R Salgado, T Van der Zijden, P M Parizel
Format: Article
Language:English
Published: Ubiquity Press 2011-06-01
Series:Journal of the Belgian Society of Radiology
Online Access:https://www.jbsr.be/articles/706
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author J Toirkens
B Op de Beeck
M Spinhoven
A Snoeckx
R Salgado
T Van der Zijden
P M Parizel
author_facet J Toirkens
B Op de Beeck
M Spinhoven
A Snoeckx
R Salgado
T Van der Zijden
P M Parizel
author_sort J Toirkens
collection DOAJ
description A 58-year-old man was send to our hospital for embolisation of an arteriovenous (AV) malformation of the right lung. This diagnosis was based on a CT made in the referring hospital. Diagnostic pulmonary angiography with catheter placed in the right main pulmonary artery (Fig. A) did not show an AV-malformation. Nevertheless striking was the diminished number of pulmonary vessels in the superior and middle part of the right lung (arrows). When revising the CT scan a hypodense mass was seen in the right hilum (Fig. B, arrow). This lesion was not vascularised and was located near the right upper lobe bronchus (Fig. C, arrow). The lung segment distal to this mass contained little vessels. These findings are compatible with bronchial atresia. Retrospectively this congenital anomaly could already be suggested based on the chest X-ray (Fig. D), which showed a perihilar mass (short arrow) and decreased vascular marking of the right peripheral lung zones (arrows).
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spelling doaj.art-764e014f9a26493c8e68ac5f0c8773942022-12-21T22:50:04ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812011-06-0194610.5334/jbr-btr.706706Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVMJ ToirkensB Op de BeeckM SpinhovenA SnoeckxR SalgadoT Van der ZijdenP M ParizelA 58-year-old man was send to our hospital for embolisation of an arteriovenous (AV) malformation of the right lung. This diagnosis was based on a CT made in the referring hospital. Diagnostic pulmonary angiography with catheter placed in the right main pulmonary artery (Fig. A) did not show an AV-malformation. Nevertheless striking was the diminished number of pulmonary vessels in the superior and middle part of the right lung (arrows). When revising the CT scan a hypodense mass was seen in the right hilum (Fig. B, arrow). This lesion was not vascularised and was located near the right upper lobe bronchus (Fig. C, arrow). The lung segment distal to this mass contained little vessels. These findings are compatible with bronchial atresia. Retrospectively this congenital anomaly could already be suggested based on the chest X-ray (Fig. D), which showed a perihilar mass (short arrow) and decreased vascular marking of the right peripheral lung zones (arrows).https://www.jbsr.be/articles/706
spellingShingle J Toirkens
B Op de Beeck
M Spinhoven
A Snoeckx
R Salgado
T Van der Zijden
P M Parizel
Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
Journal of the Belgian Society of Radiology
title Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
title_full Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
title_fullStr Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
title_full_unstemmed Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
title_short Unsuspected case of congenital bronchial atresia in workup for supposed pulmonary AVM
title_sort unsuspected case of congenital bronchial atresia in workup for supposed pulmonary avm
url https://www.jbsr.be/articles/706
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