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Pediatric Cardiology

, Volume 32, Issue 7, pp 993–997 | Cite as

Takayasu’s Arteritis Mimicking Unilateral Pulmonary Artery Agenesis in a Child With Severe Pulmonary Hypertension and Right Heart Failure: A Diagnostic Dilemma

  • Sudeep KumarEmail author
  • Nagaraja Moorthy
  • Aditya Kapoor
  • Sunil Kumar
Case Report

Abstract

Affliction of the pulmonary arteries in Takayasu’s arteritis is uncommon. Moreover the incidence of pulmonary artery involvement in this condition is often underestimated because of asymptomatic nature in most patients. Severe involvement may however present with pulmonary artery hypertension and hemoptysis, which may prove to be fatal. This case report describes a 9-year-old girl with severe pulmonary hypertension and right heart failure secondary to total occlusion of the right pulmonary artery. Detailed clinical examination and computed tomography (CT) angiography confirmed this diagnosis.

Keywords

Pulmonary artery agenesis Pulmonary hypertension Takayasu’s arteritis 

Notes

Acknowledgment

The authors thank Dr. Amithab Arya from Department of Nuclear Medicine, SGPGIMS, for providing SPECT CT lung perfusion images.

Supplementary material

Video 1 Transthoracic echocardiogram in basal short-axis view showing dilated main and left pulmonary arteries with no right pulmonary artery shadow. (WMV 866 kb)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Sudeep Kumar
    • 1
    Email author
  • Nagaraja Moorthy
    • 1
  • Aditya Kapoor
    • 1
  • Sunil Kumar
    • 2
  1. 1.Department of CardiologySanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia
  2. 2.Department of RadiologySanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia

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