Successful simultaneous stenting of a pulmonary artery and vein in pulmonary vascular stenosis due to silicosis. Case report and literature review

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

T. Neumann¹  M. Kuniss¹  M. Haas¹  T. Hardebusch²  P. Litterst²  M. Westhoff³  A. Breithecker⁴  C. B. Wiedenroth⁵  S. Guth⁵ 

[1] Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany;Department of Pulmonology, Klinik für Pneumologie, Schlaf und Beatmungsmedizin, Lungenklinik Hemer, Zentrum für Pneumologie und Thoraxchirurgie, Hemer, Germany;Department of Pulmonology, Klinik für Pneumologie, Schlaf und Beatmungsmedizin, Lungenklinik Hemer, Zentrum für Pneumologie und Thoraxchirurgie, Hemer, Germany;Universität Witten/Herdecke University, Witten, Germany;Department of Radiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany;Department of Thoracic Surgery, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany;

关键词: mediastinal fibrosis;    silicosis;    pulmonary artery stenosis;    pulmonary vein stenosis;    pulmonary hypertension;    stenting;   

DOI  :  10.3389/fcvm.2023.1108768

 received in 2022-11-26, accepted in 2023-03-16,  发布年份 2023

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

Unknown   
© 2023 Westhoff, Hardebusch, Litterst, Breithecker, Haas, Kuniss, Neumann, Guth and Wiedenroth.