Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review
A 58-year-old patient was admitted to the emergency department due to severe respiratory insufficiency. Anamnesis revealed that the patient had experienced increasing stress dyspnea for a few months. Upon imaging, an acute pulmonary embolism was excluded, but peribronchial and hilar soft tissue prol...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1108768/full |
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| author | M. Westhoff M. Westhoff T. Hardebusch P. Litterst A. Breithecker M. Haas M. Kuniss T. Neumann S. Guth C. B. Wiedenroth |
| author_facet | M. Westhoff M. Westhoff T. Hardebusch P. Litterst A. Breithecker M. Haas M. Kuniss T. Neumann S. Guth C. B. Wiedenroth |
| author_sort | M. Westhoff |
| collection | DOAJ |
| description | A 58-year-old patient was admitted to the emergency department due to severe respiratory insufficiency. Anamnesis revealed that the patient had experienced increasing stress dyspnea for a few months. Upon imaging, an acute pulmonary embolism was excluded, but peribronchial and hilar soft tissue proliferation with compression of central parts of the pulmonary circulation was found. The patient had a history of silicosis. The histology report showed tumor-free lymph node particles with prominent anthracotic pigment and dust depositions without evidence of IgG4-associated disease. The patient was administered steroid therapy and underwent simultaneous stenting of the left interlobular pulmonary artery and the upper right pulmonary vein. As a result, a significant improvement in symptoms and physical performance was achieved. The diagnosis of inflammatory or, in particular, fibrosing mediastinal processes can be challenging and important clinical symptoms must be taken into account, especially if the pulmonary vasculature is involved. In such cases, the possibility of interventional procedures should be examined in addition to drug therapy options. |
| first_indexed | 2024-04-09T13:44:19Z |
| format | Article |
| id | doaj.art-e7b539c650284866aee5276a2321a9d1 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-09T13:44:19Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-e7b539c650284866aee5276a2321a9d12023-05-09T05:40:13ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-05-011010.3389/fcvm.2023.11087681108768Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature reviewM. Westhoff0M. Westhoff1T. Hardebusch2P. Litterst3A. Breithecker4M. Haas5M. Kuniss6T. Neumann7S. Guth8C. B. Wiedenroth9Department of Pulmonology, Klinik für Pneumologie, Schlaf und Beatmungsmedizin, Lungenklinik Hemer, Zentrum für Pneumologie und Thoraxchirurgie, Hemer, GermanyUniversität Witten/Herdecke University, Witten, GermanyDepartment of Pulmonology, Klinik für Pneumologie, Schlaf und Beatmungsmedizin, Lungenklinik Hemer, Zentrum für Pneumologie und Thoraxchirurgie, Hemer, GermanyDepartment of Pulmonology, Klinik für Pneumologie, Schlaf und Beatmungsmedizin, Lungenklinik Hemer, Zentrum für Pneumologie und Thoraxchirurgie, Hemer, GermanyDepartment of Radiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyDepartment of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyDepartment of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyDepartment of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyDepartment of Thoracic Surgery, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyDepartment of Thoracic Surgery, Kerckhoff Heart and Thorax Center, Bad Nauheim, GermanyA 58-year-old patient was admitted to the emergency department due to severe respiratory insufficiency. Anamnesis revealed that the patient had experienced increasing stress dyspnea for a few months. Upon imaging, an acute pulmonary embolism was excluded, but peribronchial and hilar soft tissue proliferation with compression of central parts of the pulmonary circulation was found. The patient had a history of silicosis. The histology report showed tumor-free lymph node particles with prominent anthracotic pigment and dust depositions without evidence of IgG4-associated disease. The patient was administered steroid therapy and underwent simultaneous stenting of the left interlobular pulmonary artery and the upper right pulmonary vein. As a result, a significant improvement in symptoms and physical performance was achieved. The diagnosis of inflammatory or, in particular, fibrosing mediastinal processes can be challenging and important clinical symptoms must be taken into account, especially if the pulmonary vasculature is involved. In such cases, the possibility of interventional procedures should be examined in addition to drug therapy options.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1108768/fullmediastinal fibrosissilicosispulmonary artery stenosispulmonary vein stenosispulmonary hypertensionstenting |
| spellingShingle | M. Westhoff M. Westhoff T. Hardebusch P. Litterst A. Breithecker M. Haas M. Kuniss T. Neumann S. Guth C. B. Wiedenroth Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review Frontiers in Cardiovascular Medicine mediastinal fibrosis silicosis pulmonary artery stenosis pulmonary vein stenosis pulmonary hypertension stenting |
| title | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
| title_full | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
| title_fullStr | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
| title_full_unstemmed | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
| title_short | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
| title_sort | successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis case report and literature review |
| topic | mediastinal fibrosis silicosis pulmonary artery stenosis pulmonary vein stenosis pulmonary hypertension stenting |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1108768/full |
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