Mediastinal Fibrosis of the Pulmonary Artery Secondary to Tuberculosis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26354666.
- Also identified by DOI 10.1016/j.athoracsur.2015.03.113.
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Abstract
Mediastinal fibrosis is an uncommon disease involving the esophagus, respiratory tract, and great vessels. We report a man who presented with dyspnea on exertion. Computed tomography of the chest demonstrated granulomatous disease with dense calcifications leading to severe stenosis of the main pulmonary artery (PA) and narrowing of the superior vena cava. The results of tuberculosis (TB) interferon-γ release assay and TB-polymerase chain reaction were positive for Mycobacterium tuberculosis. The patient received 2 weeks of treatment for latent TB before undergoing resection of fibrotic tissue and replacement of the main and branch PAs using a homograft.
Medical subject headings
- Arterial Occlusive Diseases
- Mediastinum
- Pulmonary Artery
- Tuberculosis, Pulmonary