Abstract | INTRODUCTION:
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.
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Authors | F Milhe, J Schranz, S Boniface, D Vervloet, A Magnan |
Journal | Revue des maladies respiratoires
(Rev Mal Respir)
Vol. 21
Issue 2 Pt 1
Pg. 402-6
(Apr 2004)
ISSN: 0761-8425 [Print] France |
Vernacular Title | Un faux asthme lié à une compression bronchique par une artère pulmonaire gauche à trajet aberrant chez une enfant de 7 ans. |
PMID | 15211253
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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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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