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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

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[Left pulmonary agenesis diagnosed late].

Oana Deleanu¹, Natalia Pătraşcu, Ana-Maria Nebunoiu

¹Universitatea de Medicină si Farmacie Carol Davila, Bucureşti. oanadeleanu@yahoo.com

Pneumologia (Bucharest, Romania)

|March 4, 2011

Summary

This case study highlights late-diagnosed pulmonary agenesis in a 51-year-old female presenting with progressive dyspnea. Despite severe dextroscoliosis, the patient shows good survival due to mild, stable pulmonary hypertension.

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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

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Published on: April 24, 2017

Area of Science:

Cardiology
Pulmonology
Radiology

Background:

Pulmonary agenesis is a rare congenital anomaly.
Late diagnosis is uncommon, especially presenting with progressive dyspnea and dextroscoliosis.

Observation:

A 51-year-old female with severe dextroscoliosis presented with progressive dyspnea.
Imaging revealed opacification of the left thorax, mediastinal deviation, and absence of left lung structures.
CT confirmed absence of left pulmonary artery and airways; bronchoscopy was non-diagnostic for the left main bronchus.

Findings:

The patient was diagnosed with left pulmonary agenesis.
Echocardiography showed mild pulmonary hypertension (33 mmHg) with right heart dilatation but preserved cardiac function.
Polycythemia was noted in blood samples.

Implications:

This case demonstrates a rare presentation of pulmonary agenesis with late diagnosis.
The patient exhibits modest functional cardiologic implications and limited therapeutic options.
Good survival is attributed to the late onset and low severity of pulmonary hypertension.