Unexpected cause of cyanosis and dyspnea in an adult: direct communication of the right pulmonary artery and left atrium

Ismail Dogu Kilic; Yusuf I Alihanoglu; Nevzat Karabulut; Fırat Durna; Bilgin Emrecan

doi:10.1016/j.athoracsur.2013.08.027

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Unexpected cause of cyanosis and dyspnea in an adult: direct communication of the right pulmonary artery and left atrium

Journal article

Peer reviewed

Unexpected cause of cyanosis and dyspnea in an adult: direct communication of the right pulmonary artery and left atrium

Ismail Dogu Kilic, Yusuf I Alihanoglu, Nevzat Karabulut, Fırat Durna and Bilgin Emrecan

The Annals of thoracic surgery, Vol.97(5), pp.1782-1784

05/01/2014

DOI: 10.1016/j.athoracsur.2013.08.027

PMID: 24792266

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Abstract

Direct communication of the right pulmonary artery and the left atrium is an extremely rare congenital malformation of the pulmonary vasculature. A 41-year-old woman with a history of cyanosis since childhood presented with mild exertional dyspnea. On physical examination, she had central cyanosis, clubbing of the fingers, and an upright position caused by orthodeoxia. Imaging studies showed a very large aneurysm in the distal right pulmonary artery with a direct communication to the left atrium. The patient underwent successful repair, with resolution of hypoxia and exertional symptoms.

Adult

Aneurysm - diagnostic imaging

Aneurysm - surgery

Cardiac Catheterization - methods

Cardiac Surgical Procedures - methods

Congenital Abnormalities - diagnosis

Congenital Abnormalities - surgery

Cyanosis - diagnosis

Cyanosis - etiology

Dyspnea - diagnosis

Dyspnea - etiology

Female

Heart Atria - abnormalities

Heart Atria - surgery

Humans

Pulmonary Artery - abnormalities

Pulmonary Artery - surgery

Radiography

Rare Diseases

Severity of Illness Index

Treatment Outcome

Vascular Surgical Procedures - methods

Details

Title: Subtitle: Unexpected cause of cyanosis and dyspnea in an adult: direct communication of the right pulmonary artery and left atrium
Creators: Ismail Dogu Kilic - Pamukkale University
Yusuf I Alihanoglu - Pamukkale University
Nevzat Karabulut - Pamukkale University
Fırat Durna - Pamukkale University
Bilgin Emrecan - Pamukkale University
Resource Type: Journal article
Publication Details: The Annals of thoracic surgery, Vol.97(5), pp.1782-1784
DOI: 10.1016/j.athoracsur.2013.08.027
PMID: 24792266
ISSN: 0003-4975
eISSN: 1552-6259
Language: English
Date published: 05/01/2014
Academic Unit: Radiology
Record Identifier: 9984697730302771

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