Unilateral pulmonary artery atresia

Case contributed by Heba Abdelmonem
Diagnosis probable

Presentation

Chest tightness with cough

Patient Data

Age: 55 years
Gender: Male

The left main pulmonary artery is atretic. The left hemithorax is normal in volume. The left lung is small in size with normal appearance of the left main bronchus and cystic bronchiectasis of the bronchial tree remnant. Ipsilateral mediastinal shift, contralateral lung compensatory hyperinflation and herniation across the midline.

Case Discussion

Unilateral atresia of the pulmonary artery with an underdeveloped left lung. Widespread cystic bronchiectasis within the lung remnant may be a sequela of chronic infection.

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