Missed diagnosis of atresia of the right pulmonary artery in woman with left-sided pneumothorax

Isolated pulmonary atresia is an uncommon condition, which can go undiagnosed for a long time in asymptomatic patients. Sometimes, diagnosis can be made at pregnancy due to respiratory symptoms. There is no known increased risk of pneumothorax. We here present a case where a second-time pregnant wom...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2016-12, Vol.50 (6), p.1210-1211
Main Authors: Dagnegård, Hanna H, Ryom, Philip
Format: Article
Language:English
Subjects:
Adult
Diagnostic Errors
Female
Humans
Pneumothorax - diagnostic imaging
Pneumothorax - etiology
Pregnancy
Pregnancy Complications, Cardiovascular - diagnosis
Pregnancy Complications, Cardiovascular - diagnostic imaging
Pulmonary Atresia - complications
Pulmonary Atresia - diagnosis
Pulmonary Atresia - diagnostic imaging
Radiography
Tomography, X-Ray Computed
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Summary:Isolated pulmonary atresia is an uncommon condition, which can go undiagnosed for a long time in asymptomatic patients. Sometimes, diagnosis can be made at pregnancy due to respiratory symptoms. There is no known increased risk of pneumothorax. We here present a case where a second-time pregnant woman with an unknown atresia of the right pulmonary artery received a left-sided pneumothorax. The diagnosis was initially missed in spite of adequate imaging and the condition progressed to respiratory stop. We describe the course of diagnostics and the chosen strategy of treatment.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezw192