Pulmonary Hypertension Five Years after Left Pneumonectomy for Adenoid Cystic Carcinoma

Bloch, Konrad E.; Marinček, Borut; Amann, Franz W.; Russi, Erich W.

doi:10.1378/chest.99.4.1018

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Pulmonary artery compression due to mediastinal bronchogenic lung cancer [3] and other malignant processes [4] has been reported. Pulmonary artery stenosis caused by locally recurrent mediastinal bronchial adenoid cystic carcinoma has been reported only once previously [1], occurring five years after pneumonectomy. Successful percutaneous pulmonary artery stenting has been reported in the management of pulmonary artery compression due to other mediastinal malignant processes [3, 5], but not bronchial adenoid cystic carcinoma.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary artery stent for bronchial adenoid cystic carcinoma causing pulmonary artery stenosis

Smith

Kotlyar

Mellemkjær

et al. 2014

Respirology Case Reports

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A 46-year-old woman presented with a 6-month history of dyspnea and weight loss on a background of previous pneumonectomy for bronchial adenoid cystic carcinoma 14 years beforehand. Several years prior to this presentation, she had developed left vocal cord palsy and a metastatic lesion to the right buttock confirmed at resection. Investigations included CT pulmonary angiography and right heart catheterisation and demonstrated pulmonary artery stenosis suggestive of vascular encasement, severe pulmonary arterial hypertension and pulmonary nodules. Subsequent pulmonary artery stenting markedly improved both pulmonary artery pressures and the patient's symptoms. The diagnosis of pulmonary artery stenosis due to mediastinal infiltration by metastatic bronchial adenoid cystic carcinoma was based on these findings as well as the presence of the pulmonary nodules and the previous mediastinal (recurrent laryngeal nerve) and metastatic complications. This case is the first report of successful pulmonary artery stenting for this rare complication.

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Section: Discussionmentioning

confidence: 99%

“…Most of these cases are due to non-small cell lung cancer. This complication of adenoid cystic carcinoma is far more rare, and to our knowledge, only one case has been reported previously [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Pulmonary artery stent for bronchial adenoid cystic carcinoma causing pulmonary artery stenosis

Smith

Kotlyar

Mellemkjær

et al. 2014

Respirology Case Reports

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“…However, lymphangitic carcinomatosis was not confirmed by high-resolution CT. A few studies report extrinsic compression of the pulmonary artery by cancer causing dyspnea. 6,7 The patient's CT pulmonary angiogram showed extrinsic compression of the right pulmonary artery by malignant lymph nodes obstructing and impeding blood flow from the pulmonary artery, thus causing increasing dyspnea. When the abnormal area was irradiated, the patient's dyspnea improved dramatically.…”

Section: Commentmentioning

confidence: 99%

An Unusual Case of Dyspnea in Metastatic Breast Carcinoma

Cronin

Twomey

O’Reilly

et al. 2011

Journal of Pain and Symptom Management

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To the Editor:Dyspnea is the term generally applied to the unpleasant or uncomfortable sensation often described by patients as ''breathlessness.'' The American Thoracic Society defines dyspnea as ''a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity. The experience is derived from interaction among physiological, psychological, social, and environmental factors and may induce secondary physiological and behavioral responses.'' 1 The reported frequency in cancer patients varies from 21% to 90% depending on the stage of the cancer. 2,3 Although this case illustrates a rarer cause of dyspnea, it emphasizes the importance of identifying possible reversible causes before treatment is implemented.

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Outcome of Tracheobronchial Injuries: A Long-Term Perspective

Richardson

2004

The Journal of Trauma: Injury, Infection, and Critical Care

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Pulmonary Hypertension Five Years after Left Pneumonectomy for Adenoid Cystic Carcinoma

Cited by 3 publications

References 6 publications

Pulmonary artery stent for bronchial adenoid cystic carcinoma causing pulmonary artery stenosis

Pulmonary artery stent for bronchial adenoid cystic carcinoma causing pulmonary artery stenosis

An Unusual Case of Dyspnea in Metastatic Breast Carcinoma

Outcome of Tracheobronchial Injuries: A Long-Term Perspective

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