{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T23:46:45Z","timestamp":1793836005968,"version":"4.6.1"},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,5]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>Patients with pulmonary arterial hypertension (PAH) usually die from progressive right ventricular failure. Mechanical complications due to pulmonary artery (PA) enlargement are rare and include tracheobronchial and left main coronary artery compression, and PA dissection. A 62-year-old female with PAH was seen in our office for follow-up. During the evaluation, spirometry was performed, which revealed a severe obstructive ventilatory limitation. Subsequent workup identified compression of bilateral mainstem bronchi from the dilated PA as the aetiology for the abnormal spirometry. Very few cases of this rare complication have been reported in the literature. A significant dilation of the PA is necessary (&gt;4\u2009cm) for the occurrence of these complications. Dilation of PA is an independent risk factor for sudden unexpected death in patients with PAH.<\/jats:p>","DOI":"10.1136\/bcr-2019-232468","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T04:45:26Z","timestamp":1574743526000},"page":"e232468","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Central airway compression by massively dilated pulmonary artery in a patient with pulmonary arterial hypertension: a rare entity"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3595-8804","authenticated-orcid":false,"given":"Biplab Kumar","family":"Saha","sequence":"first","affiliation":[{"name":"Pulmonary and Critical Care Medicine, Albany Medical Center Hospital, Albany, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Beegle","sequence":"additional","affiliation":[{"name":"Pulmonary and Critical Care Medicine, Albany Medical Center Hospital, Albany, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,11,25]]},"reference":[{"key":"2025082802120177000_12.11.e232468.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-0075"},{"key":"2025082802120177000_12.11.e232468.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-115-5-343"},{"key":"2025082802120177000_12.11.e232468.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-1460"},{"key":"2025082802120177000_12.11.e232468.4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.85.4.457"},{"key":"2025082802120177000_12.11.e232468.5","doi-asserted-by":"publisher","DOI":"10.1136\/thx.42.2.131"},{"key":"2025082802120177000_12.11.e232468.6","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1086\/683687","article-title":"Left main bronchus compression due to main pulmonary artery dilatation in pulmonary hypertension: two case reports","volume":"5","author":"Jaijee","year":"2015","journal-title":"Pulm Circ"},{"key":"2025082802120177000_12.11.e232468.7","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1080\/00325481.2016.1157442","article-title":"Compression of adjacent anatomical structures by pulmonary artery dilation","volume":"128","author":"Dakkak","year":"2016","journal-title":"Postgrad Med"},{"key":"2025082802120177000_12.11.e232468.8","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.57.6.473"},{"key":"2025082802120177000_12.11.e232468.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)02964-9"},{"key":"2025082802120177000_12.11.e232468.10","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(90)90428-G"},{"key":"2025082802120177000_12.11.e232468.11","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0b013e318271c2eb"},{"key":"2025082802120177000_12.11.e232468.12","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.111.968610"},{"key":"2025082802120177000_12.11.e232468.13","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.ijcard.2017.05.090","article-title":"Detection of mechanical complications related to the potential risk of sudden cardiac death in patients with pulmonary arterial hypertension by computed tomography","volume":"243","author":"Lee","year":"2017","journal-title":"Int J Cardiol"},{"key":"2025082802120177000_12.11.e232468.14","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2794"},{"key":"2025082802120177000_12.11.e232468.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2003.11.015"},{"key":"2025082802120177000_12.11.e232468.16","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/chd.12316","article-title":"Aneurysm of the pulmonary artery, a systematic review and critical analysis of current literature","volume":"11","author":"Duijnhouwer","year":"2016","journal-title":"Congenit Heart Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:12:10Z","timestamp":1756372330000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,25]]},"published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1136\/bcr-2019-232468"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232468","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}