Pulmonary thromboembolic disease or pulmonary artery intimal sarcoma: Case report and literature review

Shao,Nan; Deng,Chaosheng

doi:10.3892/ol.2022.13470

Pulmonary thromboembolic disease or pulmonary artery intimal sarcoma: Case report and literature review

Authors:
- Nan Shao
- Chaosheng Deng
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Affiliations: Division of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, P.R. China
Published online on: August 19, 2022 https://doi.org/10.3892/ol.2022.13470
Article Number: 350
Copyright: © Shao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present case study reported on a patient initially diagnosed with pulmonary embolism at the First Affiliated Hospital of Fujian Medical University (Fuzhou, China) in May 2021. Furthermore, a relevant literature review was performed. The patient was a 57‑year‑old Chinese male who presented with dyspnea and wheezing following exercise. Physical examination revealed pulmonary valve second heart sound > aortic valve second heart sound but lack of swelling on both lower limbs, while the imaging results suggested pulmonary artery filling defects. Initially, the patient was diagnosed with pulmonary embolism and was administered anticoagulation treatment, which lasted for 3 months but proved to be ineffective. Subsequent re‑examination via chest computed tomography further indicated multiple nodules in the left hilum and lung. Therefore, the patient was hospitalized for lung aspiration biopsy, which led to the final diagnosis of pulmonary artery intimal sarcoma based on the pathological review.

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