Akademik Veri Yönetim Sistemi
World Academic Congress of Emergency Medicine 2023, Antalya, Türkiye, 28 - 31 Ekim 2023, ss.894-895
Introduction and Purpose: Congenital absence of a pulmonary artery is a rare condition with an estimated prevalence of 1 in 200,000. Pulmonary artery atresia is often seen in conjunction with other cardiovascular abnormalities. Isolated right pulmonary artery atresia is more common than left pulmonary artery atresia. Cardiovascular anomalies are more common in left pulmonary artery atresia. Isolated pulmonary artery atresia without cardiovascular anomalies show few or no symptoms and survive to adulthood.
Materials and Methods: A 40-year-old male patient applied to the emergency service with the complaint of coughing up blood for 2 days. After coughing, blood comes in the form of clots. The total amount of blood did not exceed one tablespoon. He had no known illness or drug use. There is active smoking. The patient's admission vitals were as follows: 97%, pulse rate: 96, blood pressure: 140/70 mm/hg, respiratory rate: 16/min. In his examination, the oropharynx was normal, respiratory sounds were normal, and no additional sound was heard. The patient's tests for hemoptysis were unremarkable. There was right pulmonary artery atresia in the thorax computed tomography (CT) angiography, and there were areas of ground glass density in the upper lobe of the right lung. The patient was evaluated by the pulmonary diseases clinic due to hemoptysis, pneumonia, and pulmonary artery atresia. Emergency situations were explained and antibiotic therapy was started and he was discharged.
Results and Conclusion: Isolated pulmonary artery atresia is often asymptomatic until adulthood. In adult patients, it may occur in patients with symptoms such as recurrent respiratory tract infection, exertional dyspnea, and hemoptysis, during diagnostic imaging or incidentally as an abnormal chest radiography finding.
Keywords: atresia, hemoptysis, pneumonia, pulmonary artery