Fibrosing mediastinitis presenting as pulmonary stenosis: Stenting works

Abstract A rare case of fibrosing mediastinitis from histoplasmosis with extrinsic compression of the right pulmonary artery is reported. A 41-year-old patient presented with worsening symptoms of cough, fever, migratory arthralgia, chest pain, and progressive dyspnea. The pulmonary artery involveme...

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Bibliographic Details
Published in:International journal of cardiology 2007-06, Vol.118 (3), p.e85-e86
Main Authors: Satpathy, Ruby, Aguila, Virginia, Mohiuddin, Syed M, Khan, Ijaz A
Format: Article
Language:English
Subjects:
Adult
Angioplasty, Balloon - methods
Biopsy, Needle
Cardiac Catheterization
Cardiovascular
Diagnosis, Differential
Echocardiography, Transesophageal
Fibrosing mediastinitis
Fibrosis - pathology
Follow-Up Studies
Histoplasmosis
Histoplasmosis - complications
Histoplasmosis - diagnosis
Humans
Immunohistochemistry
Male
Mediastinal fibrosis
Mediastinitis - diagnosis
Mediastinitis - etiology
Mediastinitis - pathology
Pulmonary artery stenting
Pulmonary stenosis
Pulmonary Valve Stenosis - diagnostic imaging
Pulmonary Valve Stenosis - etiology
Pulmonary Valve Stenosis - therapy
Radionuclide Imaging
Risk Assessment
Sclerosing mediastinitis
Stents
Treatment Outcome
Vascular Patency
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Summary:Abstract A rare case of fibrosing mediastinitis from histoplasmosis with extrinsic compression of the right pulmonary artery is reported. A 41-year-old patient presented with worsening symptoms of cough, fever, migratory arthralgia, chest pain, and progressive dyspnea. The pulmonary artery involvement was suspected by transthoracic echo and was confirmed by transesophageal echo, CT scan of chest, and right heart catheterization. Diagnosis of histoplasmosis was confirmed by biopsy and serological tests. Patient has been free from symptoms of pulmonary stenosis for 4 years after successful pulmonary artery stenting.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.01.030