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Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review
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 prol...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203551/ https://www.ncbi.nlm.nih.gov/pubmed/37229232 http://dx.doi.org/10.3389/fcvm.2023.1108768 |
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author | Westhoff, M. Hardebusch, T. Litterst, P. Breithecker, A. Haas, M. Kuniss, M. Neumann, T. Guth, S. Wiedenroth, C. B. |
author_facet | Westhoff, M. Hardebusch, T. Litterst, P. Breithecker, A. Haas, M. Kuniss, M. Neumann, T. Guth, S. Wiedenroth, C. B. |
author_sort | Westhoff, M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10203551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102035512023-05-24 Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review Westhoff, M. Hardebusch, T. Litterst, P. Breithecker, A. Haas, M. Kuniss, M. Neumann, T. Guth, S. Wiedenroth, C. B. Front Cardiovasc Med Cardiovascular Medicine 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. Frontiers Media S.A. 2023-05-09 /pmc/articles/PMC10203551/ /pubmed/37229232 http://dx.doi.org/10.3389/fcvm.2023.1108768 Text en © 2023 Westhoff, Hardebusch, Litterst, Breithecker, Haas, Kuniss, Neumann, Guth and Wiedenroth. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Westhoff, M. Hardebusch, T. Litterst, P. Breithecker, A. Haas, M. Kuniss, M. Neumann, T. Guth, S. Wiedenroth, C. B. Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title_full | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title_fullStr | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title_full_unstemmed | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title_short | Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review |
title_sort | successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. case report and literature review |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203551/ https://www.ncbi.nlm.nih.gov/pubmed/37229232 http://dx.doi.org/10.3389/fcvm.2023.1108768 |
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