Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review.
mediastinal fibrosis
pulmonary artery stenosis
pulmonary hypertension
pulmonary vein stenosis
silicosis
stenting
Journal
Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388
Informations de publication
Date de publication:
2023
2023
Historique:
received:
26
11
2022
accepted:
16
03
2023
medline:
25
5
2023
pubmed:
25
5
2023
entrez:
25
5
2023
Statut:
epublish
Résumé
A 58-year-old patient was admitted to the emergency department due to severe respiratory insufficiency. Anamnesis revealed that the patient had experienced increasing stress dyspnea for a few months. Upon imaging, an acute pulmonary embolism was excluded, but peribronchial and hilar soft tissue proliferation with compression of central parts of the pulmonary circulation was found. The patient had a history of silicosis. The histology report showed tumor-free lymph node particles with prominent anthracotic pigment and dust depositions without evidence of IgG4-associated disease. The patient was administered steroid therapy and underwent simultaneous stenting of the left interlobular pulmonary artery and the upper right pulmonary vein. As a result, a significant improvement in symptoms and physical performance was achieved. The diagnosis of inflammatory or, in particular, fibrosing mediastinal processes can be challenging and important clinical symptoms must be taken into account, especially if the pulmonary vasculature is involved. In such cases, the possibility of interventional procedures should be examined in addition to drug therapy options.
Identifiants
pubmed: 37229232
doi: 10.3389/fcvm.2023.1108768
pmc: PMC10203551
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1108768Informations de copyright
© 2023 Westhoff, Hardebusch, Litterst, Breithecker, Haas, Kuniss, Neumann, Guth and Wiedenroth.
Déclaration de conflit d'intérêts
MW has received speaker fees and/or consultant honoraria from Actelion/Janssens, Boehringer Ingelheim, Insmed, Novartis, Vitalaire, Löwenstein Medical. TH has no conflict of interest. PL has no conflict of interest. AB has received speaker fees from MSD. MH has received speaker fees from Daiichi-Sankyo and Pfizer. MK has no conflict of interest. TN has no conflict of interest. SG has received speaker fees from Actelion, Bayer, GSK, MSD and Pfizer. CW has received speaker fees and/or consultant honoraria from Actelion, AOP Orphan Pharmaceuticals AG, Bayer AG, BTG, MSD, and Pfizer.
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