Missed diagnosis of atresia of the right pulmonary artery in woman with left-sided pneumothorax

Eur J Cardiothorac Surg. 2016 Dec;50(6):1210-1211. doi: 10.1093/ejcts/ezw192. Epub 2016 Jun 3.


Isolated pulmonary atresia is an uncommon condition, which can go undiagnosed for a long time in asymptomatic patients. Sometimes, diagnosis can be made at pregnancy due to respiratory symptoms. There is no known increased risk of pneumothorax. We here present a case where a second-time pregnant woman with an unknown atresia of the right pulmonary artery received a left-sided pneumothorax. The diagnosis was initially missed in spite of adequate imaging and the condition progressed to respiratory stop. We describe the course of diagnostics and the chosen strategy of treatment.

Keywords: Missed diagnosis; Pneumothorax; Pulmonary artery atresia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnostic Errors
  • Female
  • Humans
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / etiology*
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnosis*
  • Pregnancy Complications, Cardiovascular / diagnostic imaging
  • Pulmonary Atresia / complications*
  • Pulmonary Atresia / diagnosis
  • Pulmonary Atresia / diagnostic imaging
  • Radiography
  • Tomography, X-Ray Computed