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Author Gutzeit, A. ♦ Koch, S. ♦ Meier, U. R. ♦ Zollikofer, Ch.
Source United States Department of Energy Office of Scientific and Technical Information
Content type Text
Language English
Subject Keyword RADIOLOGY AND NUCLEAR MEDICINE ♦ ARTERIES ♦ BRONCHI ♦ CARCINOMAS ♦ CHEST ♦ CONTRAST MEDIA ♦ OXYGEN ♦ TUBES ♦ BLOOD VESSELS ♦ BODY ♦ CARDIOVASCULAR SYSTEM ♦ DISEASES ♦ ELEMENTS ♦ NEOPLASMS ♦ NONMETALS ♦ ORGANS ♦ RESPIRATORY SYSTEM
Abstract A 58-year-old patient with recently diagnosed non-small cell bronchial carcinoma was referred to us with increasing shortness of breath and orthopnea by her family practitioner. To exclude the possibility of a pulmonary embolism, contrast medium-enhanced angio-CT of the thorax was performed. This showed a large mediastinal tumor, which, on the one hand, infiltrated and occluded the left upper lobe bronchus and, on the other, constricted the left pulmonary artery over a considerable part of its length. In view of the palliative situation and massively increasing dyspnea, balloon dilatation of the obstructed left pulmonary artery followed by stent placement was performed. This resulted in an immediate improvement of the symptoms. The originally strongly oxygen-dependent and heavily dyspneic patient could be relieved of the external supply of oxygen and was able to sleep normally without additional medication within 24 h. The patient was able ambulate freely within 2 days, with a markedly improved quality of life.
ISSN 01741551
Educational Use Research
Learning Resource Type Article
Publisher Date 2008-07-15
Publisher Place United States
Journal Cardiovascular and Interventional Radiology
Volume Number 31
Issue Number 2


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