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Ann Thorac Surg 2001;72:1748-1750
© 2001 The Society of Thoracic Surgeons

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Case report

Exsanguinating hemoptysis revealing the absence of left pulmonary artery in an adult

^a Department of Thoracic Surgery and Anesthesiology, University Méditerranée (Aix-Marseille II), School of Medicine, Marseille, France
^b Department of Intensive Care Medicine, University Méditerranée (Aix-Marseille II), School of Medicine, Marseille, France
^c Department of Radiology, La Timone Hospital, Marseille, France
^d Department of Pathology, St. Marguerite Hospital, Marseille, France
^e UPRES EA 2201, IFR Jean Roche, Marseille, France

Accepted for publication January 19, 2001.

* Address reprint requests to Dr Thomas, Department of Thoracic Surgery and Lung Transplantation, Ste Marguerite Hospital-CHU Sud, 270 Bd Ste Marguerite, 13274 Marseille Cedex 9, France
e-mail: pathomas{at}mail.ap-hm.fr

Isolated absence of a pulmonary artery is an exceptional cause of massive hemoptysis. We report a 35-year-old woman with agenesis of the left pulmonary artery who presented with exsanguinating hemoptysis that prompted angiography with the aim to embolize the bleeding vessels selectively. The procedure could not be completed because of the presence of an anterior spinal artery branching from the aberrant systemic-to-pulmonary circulation. The patient successfully underwent an emergent pneumonectomy.

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				P. A. Fuentes Pneumonectomy: historical perspective and prospective insight Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 439 - 445. [Full Text] [PDF]