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Unilateral pulmonary venous atresia: A rare cause of recurrent hemoptysis.

作者信息

Shah Shagun Jyotin, Deshmukh Chandrahas T, David Jane J E, Hosalkar Moushmi M

机构信息

Department of Pediatrics, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.

出版信息

Lung India. 2020 Mar-Apr;37(2):164-166. doi: 10.4103/lungindia.lungindia_369_19.

DOI:10.4103/lungindia.lungindia_369_19
PMID:32108604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7065558/
Abstract

Hemoptysis is a rare but distressing complaint in children. Pulmonary venous atresia (PVA) is a rare cause of recurrent hemoptysis in children. We report a 3-year-old boy with recurrent hemoptysis for 2 years. The child had tachycardia, tachypnea, tender hepatomegaly, and left-sided decreased air entry with crepitations. Coagulation and Koch's workup was negative. X-ray of the chest showed a small left hemithorax. Computed tomography with angiography showed left unilateral PVA with pulmonary artery hypoplasia and dysplastic left lung. The child has been posted for left pneumonectomy. Although uncommon, PVA should be diagnosed early to prevent life-threatening complications such as hemoptysis and pulmonary hypertension. The patient can be managed conservatively or surgically depending on the severity. Early diagnosis and intervention helps in reducing morbidity and mortality.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/9ea1eebaacb2/LI-37-164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/31a40bfd1ae5/LI-37-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/0a7d5a145b72/LI-37-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/9ea1eebaacb2/LI-37-164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/31a40bfd1ae5/LI-37-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/0a7d5a145b72/LI-37-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/7065558/9ea1eebaacb2/LI-37-164-g003.jpg

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本文引用的文献

1
Isolated unilateral pulmonary vein atresia with hemoptysis in a child: A case report and literature review.儿童孤立性单侧肺静脉闭锁伴咯血：一例报告及文献复习
Medicine (Baltimore). 2018 Aug;97(34):e11882. doi: 10.1097/MD.0000000000011882.
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Unilateral pulmonary vein atresia: A rare case of hemoptysis.单侧肺静脉闭锁：一例罕见的咯血病例。
Respir Med Case Rep. 2015 May 22;15:83-4. doi: 10.1016/j.rmcr.2015.05.009. eCollection 2015.
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