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Ann Thorac Surg 2002;74:255-257
© 2002 The Society of Thoracic Surgeons

Case report

Hemoptysis resulting from unilateral pulmonary artery agenesis

Essam Farghly, MDb, Michael Bousamra, II, MD*a

a Division of Thoracic and Cardiovascular Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA
b Department of Chest Diseases, Minia University, Minia, Egypt

Accepted for publication February 18, 2002.

* Address reprint requests to Dr Bousamra II, 201 Abraham Flexner Way, #1200, Louisville, KY 40202 USA
e-mail: bousamra{at}louisville.edu

Unilateral pulmonary artery agenesis is a rare congenital anomaly often associated with other cardiovascular abnormalities. It is usually diagnosed and surgically treated in childhood. Subjects without associated cardiac anomalies (isolated unilateral pulmonary artery agenesis) may be asymptomatic or have recurrent respiratory infections. We report a case of left pulmonary artery agenesis in a 35-year-old man complicated by hemoptysis and treated by pneumonectomy. Physicians should be aware of unilateral pulmonary artery agenesis presenting later in life as a source of chronic respiratory symptomatology or hemoptysis.




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