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Proximal interruption of the pulmonary artery: A review of radiological findings
OBJECTIVES: Proximal interruption of the pulmonary artery (PIPA) has various clinical manifestations. This review focused on and summarized the clinical and radiological features of PIPA, based on relevant literature studies. METHODS: The study included a total of 25 PIPA cases in the Guangzhou Wome...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662611/ https://www.ncbi.nlm.nih.gov/pubmed/36389390 http://dx.doi.org/10.3389/fped.2022.968652 |
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author | Zhang, Ming-Jie Cao, Ya-Xian Zhou, Ning Wang, Rui Wu, Hui-Ying Zhang, Xiao-Chun |
author_facet | Zhang, Ming-Jie Cao, Ya-Xian Zhou, Ning Wang, Rui Wu, Hui-Ying Zhang, Xiao-Chun |
author_sort | Zhang, Ming-Jie |
collection | PubMed |
description | OBJECTIVES: Proximal interruption of the pulmonary artery (PIPA) has various clinical manifestations. This review focused on and summarized the clinical and radiological features of PIPA, based on relevant literature studies. METHODS: The study included a total of 25 PIPA cases in the Guangzhou Women and Children's Medical Center between January 2015 and December 2021. Conventional chest photographs and chest computed tomography angiography (CCTA) of patients with PIPA were analyzed and summarized. RESULTS: The radiological results showed that 17 cases were right-sided and 8 cases were left-sided PIPA. Additionally, the percentage of pulmonary hypoplasia on the affected side was 44%, 36% for pulmonary hypertension, 28% for the mosaic sign, 20% for subpleural cystic lucency shadow, 20% for subpleural serrated shadow, 20% for collateral vessel thickening, 16% for subpleural band-like parenchyma, 12% for pneumonia, and 56% for patent ductus arteriosus. CONCLUSION: The clinical manifestations of PIPA are non-specific. Awareness of this anomaly, based on radiological manifestations, particularly those observed on CCTA images, is important for ruling out alternative diagnoses and implementing appropriate management. |
format | Online Article Text |
id | pubmed-9662611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96626112022-11-15 Proximal interruption of the pulmonary artery: A review of radiological findings Zhang, Ming-Jie Cao, Ya-Xian Zhou, Ning Wang, Rui Wu, Hui-Ying Zhang, Xiao-Chun Front Pediatr Pediatrics OBJECTIVES: Proximal interruption of the pulmonary artery (PIPA) has various clinical manifestations. This review focused on and summarized the clinical and radiological features of PIPA, based on relevant literature studies. METHODS: The study included a total of 25 PIPA cases in the Guangzhou Women and Children's Medical Center between January 2015 and December 2021. Conventional chest photographs and chest computed tomography angiography (CCTA) of patients with PIPA were analyzed and summarized. RESULTS: The radiological results showed that 17 cases were right-sided and 8 cases were left-sided PIPA. Additionally, the percentage of pulmonary hypoplasia on the affected side was 44%, 36% for pulmonary hypertension, 28% for the mosaic sign, 20% for subpleural cystic lucency shadow, 20% for subpleural serrated shadow, 20% for collateral vessel thickening, 16% for subpleural band-like parenchyma, 12% for pneumonia, and 56% for patent ductus arteriosus. CONCLUSION: The clinical manifestations of PIPA are non-specific. Awareness of this anomaly, based on radiological manifestations, particularly those observed on CCTA images, is important for ruling out alternative diagnoses and implementing appropriate management. Frontiers Media S.A. 2022-10-31 /pmc/articles/PMC9662611/ /pubmed/36389390 http://dx.doi.org/10.3389/fped.2022.968652 Text en © 2022 Zhang, Cao, Zhou, Wang, Wu and Zhang. 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 | Pediatrics Zhang, Ming-Jie Cao, Ya-Xian Zhou, Ning Wang, Rui Wu, Hui-Ying Zhang, Xiao-Chun Proximal interruption of the pulmonary artery: A review of radiological findings |
title | Proximal interruption of the pulmonary artery: A review of radiological findings |
title_full | Proximal interruption of the pulmonary artery: A review of radiological findings |
title_fullStr | Proximal interruption of the pulmonary artery: A review of radiological findings |
title_full_unstemmed | Proximal interruption of the pulmonary artery: A review of radiological findings |
title_short | Proximal interruption of the pulmonary artery: A review of radiological findings |
title_sort | proximal interruption of the pulmonary artery: a review of radiological findings |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662611/ https://www.ncbi.nlm.nih.gov/pubmed/36389390 http://dx.doi.org/10.3389/fped.2022.968652 |
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