Case Report
Volume: 4 | Issue: 8 | Published: Aug 06, 2020 | Pages: 255 - 258 | DOI: 10.24911/ejmcr/173-1589523246
Descending aortopulmonary vein fistula: an unusual cause of recurrent hemoptysis in a young female: a case report
Authors: Parul Mrigpuri , Balakrishnan Menon , Sonam Spalgais , Amitesh Gupta
Article Info
Authors
Parul Mrigpuri
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
Balakrishnan Menon
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
Sonam Spalgais
Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
Amitesh Gupta
Department of Pulmonary Medicine, National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
Publication History
Received: May 18, 2020
Revised: June 18, 2020
Accepted: June 24, 2020
Published: August 06, 2020
Abstract
Background: Hemoptysis is an alarming symptom. Its etiology may vary from mild infections to malignancies. Pulmonary infections are a common cause of hemoptysis in young adults. However, vascular malformations are also enlisted among the sources of hemoptysis. Case Presentation: A 33-year-old female presented to the institute with hemoptysis. The etiology of hemoptysis was ascertained to be an anomalous vascular connection between the descending aorta and inferior pulmonary vein draining into the left atrium. Conclusion: Descending aortopulmonary fistula (DAPVF) is a rare congenital vascular malformation representing a left-toleft shunt, and cardiac failure is a presenting feature as described in some reported cases in children. DAPVF may present as hemoptysis in adults.
Keywords: Hemoptysis, anomalous connections, descending aorta, green
