Congenital absence of the left main pulmonary artery

Case contributed by Becky Chan
Diagnosis certain

Presentation

Left chest pain with elevated D-dimer. Investigation for pulmonary embolism.

Patient Data

Age: 30 years
Gender: Female

No pulmonary embolism identified.

Congenital absence of the left main pulmonary artery with an associated right aortic arch is evident.

The pulmonary arterial supply to the left lung would appear to be through multiple small systemic collaterals extending towards the left hilum, best seen from the left internal mammary artery, bronchial and left subclavian arteries.

Case Discussion

Incidental finding of congenital absence of the left main pulmonary artery.

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