Large Vessel Vasculitis with an Isolated Lesion of a Single-lobe Pulmonary Artery.

Intern Med

Respiratory Disease Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Japan.

Published: February 2017

AI Article Synopsis

  • Chronic pulmonary arterial obstructions typically arise from chronic thromboembolism, but can also be linked to rare conditions like vasculitis or intimal sarcoma.
  • A unique case of a 42-year-old woman with a solitary pulmonary artery obstruction led to a lobectomy, as the possibility of intimal sarcoma could not be ruled out.
  • The analysis of the resected samples showed large vessel vasculitis, suggesting it should be included as a potential cause for single pulmonary artery obstructions.

Article Abstract

Chronic pulmonary arterial obstructions are caused mostly by chronic pulmonary artery thromboembolism and rarely by vasculitis or intimal sarcoma of the pulmonary artery. We herein report an unusual case of a 42-year-old woman with a solitary obstruction of the pulmonary artery in the right lower lobe of her lung. Because we could not exclude the possibility of intimal sarcoma, middle and lower lobectomy was performed. The resected specimens revealed large vessel vasculitis (LVV) and an isolated lesion in the right lower lobe pulmonary artery. LVV should therefore be considered in the differential diagnosis for single pulmonary arterial stenosis or obstruction.

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http://dx.doi.org/10.2169/internalmedicine.55.6364DOI Listing

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