Unilateral pulmonary vein atresia presenting with recurrent haemoptysis in a child: a case report

BMC Pediatrics

Olive Pei Yi Lee¹  King Ching Hii¹  Ing Ping Tang¹  Anne Rachel John²  Hannah Pei Koon Tan³  Yek Kee Chor⁴  Kiew Siong Lau⁵  Martin Ngie Liong Wong⁶  Wooi Kok Lim⁶ 

[1] Department of ORL HNS, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia;Department of Paediatric Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia;Department of Paediatric, Miri Hospital, Miri, Malaysia;Department of Paediatric, Sarawak General Hospital, Kuching, Malaysia;Department of Radiology, Sarawak General Hospital, Kuching, Malaysia;Paediatric Cardiology Unit, Sarawak Heart Center, Kota Samarahan, Malaysia;

关键词: Haemoptysis;    Pulmonary vein atresia;    Bronchial varices;   

DOI  :  10.1186/s12887-020-02348-7

来源: Springer

【 摘 要 】

BackgroundHaemoptysis is an uncommon presenting symptom in children and is usually caused by acute lower respiratory tract infection or foreign body aspiration. We report a rare case of right unilateral pulmonary vein atresia (PVA) as the underlying aetiology of recurrent haemoptysis in a child.Case presentationA 4 years old girl presented with history of recurrent haemoptysis. Bronchoscopic evaluation excluded a foreign body aspiration but revealed right bronchial mucosal hyperaemia and varices. Diagnosis of right unilateral PVA was suspected on transthoracic echocardiography which demonstrated hypoplastic right pulmonary artery and non-visualization of right pulmonary veins. Final diagnosis was confirmed on cardiac CT angiography. A conservative treatment approach was opted with consideration for pneumonectomy in future when she is older.ConclusionRarer causes should be considered when investigating for recurrent haemoptysis in children. Bronchoscopy and cardiac imaging are useful tools to establish the diagnosis of unilateral PVA in our case.

【 授权许可】

CC BY