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Pyogenic granuloma originating in the pulmonary artery

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Abstract

We herein report an unreported case of pyogenic granuloma that originated in the pulmonary artery. A 38-year-old man was urgently hospitalized with dyspnea and back pain. He had been on hemodialysis for 2 years due to chronic renal failure. We performed contrast-enhanced computed tomography and detected a mass occluding the left main pulmonary artery. The maximum standardized uptake value (SUVmax) of 18F-fluorodeoxy glucose (FDG) in the mass was 4.1. We made a tentative diagnosis of pulmonary artery tumor, and planned an operation. We performed median sternotomy and left anterolateral thoracotomy. As the tumor had not reached the bottom of the left pulmonary artery, we first performed left upper lobectomy. We then performed resection of the pulmonary artery tumor under cardiopulmonary bypass and reconstructed the pulmonary artery with self-pericardium. The pathological diagnosis was pyogenic granuloma. To our knowledge, pyogenic granuloma originating in the pulmonary artery has never been reported before.

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References

  1. Long SS, Johnson PT, Hruban RH, Fishman EK. CT features of pulmonary artery sarcoma: critical aid to a challenging diagnosis. Emerg Radiol. 2010;17:153–5.

    Article  Google Scholar 

  2. Mai XL, Fan HJ, Li BX, Zhu B. Primary pulmonary artery myxoma: a rare case. Clin Imaging. 2013;37:159–62.

    Article  PubMed  Google Scholar 

  3. Ito K, Kubota K, Morooka M, Shida Y, Hasuo K, et al. Diagnostic usefulness of 18F-FDG PET/CT in the differentiation of pulmonary artery sarcoma and pulmonary embolism. Ann Nucl Med. 2009;23:671–6.

    Article  PubMed  Google Scholar 

  4. Yamada N, Kamei S, Yasuda F, Isaka N, Yada I, et al. Primary leiomyosarcoma of the pulmonary artery confirmed by catheter suction biopsy. Chest. 1998;113:555–6.

    Article  CAS  PubMed  Google Scholar 

  5. Marla V, Shrestha A, Goel K, Shrestha S. The histopathological spectrum of pyogenic granuloma: a case series. Case Rep Dent. https://doi.org/10.1155/2016/1323798 (Article ID: 1323798)

  6. Pradhan S, Bazan H, Salem R, Gusberg RJ. Intravenous lobular capillary hemangioma originating in the iliac veins: a case report. J Vasc Surg. 2008;47:1346–9.

    Article  PubMed  Google Scholar 

  7. Nguyen BD. Imaging of intravenous lobular capillary hemangioma of azygos vein. Clin Nucl Med. 2014;39:e114–e116.

    Article  PubMed  Google Scholar 

  8. Risio D, Selvaggi F, Viola P, Lattanzio G, Legnini M, et al. Intravenous pyogenic granuloma of the right adrenal gland: report of a case. Surg Today. 2013;43:569–73.

    Article  PubMed  Google Scholar 

  9. Matsuzaki K, Imamura Y, Ozawa M, Nakajima T, Ikeda A, et al. Intravenous lobular capillary hemangioma in the subclavian vein. Ann Thorac Surg. 2016;102:e427-429.

    Article  Google Scholar 

  10. Mckee GT, Fletcher CD, Mckee PH. Visceral intravascular capillary hemangioma. Arch Pathol Lab Med. 1987;111:390–2.

    CAS  PubMed  Google Scholar 

  11. Brown JG, Folpe AL, Rao P, Lazar AJ, Paner GP, et al. Primary vascular tumor and tumor-like lesions of the kidney: a clinicopathologic analysis of 25 cases. Am J Surg Pathol. 2010;34:942–9.

    Article  PubMed  Google Scholar 

  12. Lei Y, Ding CL, Chang XJ, Li FG, Zhang TH, et al. Analysis of pneumonectomy for benign disease: a single institution retrospective study on 59 patients. Ann Thorac Cardiovasc Surg. 2015;21:440–5.

    Article  Google Scholar 

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Correspondence to Noriaki Kishimoto.

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Kishimoto, N., Ikuta, T., Fujii, H. et al. Pyogenic granuloma originating in the pulmonary artery. Gen Thorac Cardiovasc Surg 67, 479–482 (2019). https://doi.org/10.1007/s11748-018-0930-1

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  • DOI: https://doi.org/10.1007/s11748-018-0930-1

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