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[Bronchial obstruction by an aberrant left pulmonary artery misdiagnosed as asthma in a 7 year old child].

AbstractINTRODUCTION:
Wheezing is common symptom in infants and is usually due to asthma. However an alternative diagnosis should be sought if there is no reversibility to B2-agonist.
CASE REPORT:
This case report describes a 7 years old child who had been treated for poorly controlled asthma for several years. The absence of B2-agonist reversibility, indirect signs of thoracic straining on spirometry and evidence of right heart decompensation raised doubts about the diagnosis. CT angiography demonstrated a pulmonary artery malformation. Formal pulmonary angiography confirmed the diagnosis of pulmonary artery sling. This malformation had been causing intermittent bronchial compression and the symptoms resolved after surgical intervention.
CONCLUSION:
Wheezing symptoms over two Years in a child, misdiagnosed as asthma, is an unusual presentation of this pulmonary vascular anomaly.
AuthorsF Milhe, J Schranz, S Boniface, D Vervloet, A Magnan
JournalRevue des maladies respiratoires (Rev Mal Respir) Vol. 21 Issue 2 Pt 1 Pg. 402-6 (Apr 2004) ISSN: 0761-8425 [Print] France
Vernacular TitleUn faux asthme lié à une compression bronchique par une artère pulmonaire gauche à trajet aberrant chez une enfant de 7 ans.
PMID15211253 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Adrenergic beta-Agonists
Topics
  • Adrenergic beta-Agonists
  • Angiography
  • Asthma (diagnosis)
  • Bronchial Diseases (diagnosis, etiology)
  • Child
  • Constriction, Pathologic
  • Diagnostic Errors
  • Female
  • Heart Failure (etiology)
  • Humans
  • Pulmonary Artery (abnormalities)
  • Respiratory Function Tests
  • Respiratory Sounds (etiology)
  • Spirometry

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