{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:29Z","timestamp":1756425749914,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,9,17]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Discrete central endovascular pulmonary arterial lesions raise clinical concern for malignancy such as primary pulmonary artery sarcoma. We present a case of a female in her late teens who had an obstructive mid right pulmonary artery lesion found on follow-up imaging 15 years after Tetralogy of Fallot repair. The lesion was in the vicinity of a previously ligated Blalock-Taussig shunt and causing right PA stenosis with delayed perfusion to the right lung, and a flow-related distal left PA aneurysm. The lesion was excised and confirmed histologically to be inflammatory in nature. Intraoperative microbiology demonstrated growth of the Kytococcus species, and she was managed with 6 weeks of intravenous antibiotics, with a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2022-254103","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T14:35:11Z","timestamp":1696430111000},"page":"e254103","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic inflammatory pulmonary artery lesion causing right pulmonary artery stenosis 15 years post Blalock-Taussig shunt ligation"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5860-8153","authenticated-orcid":false,"given":"Nicholas","family":"Bayfield","sequence":"first","affiliation":[{"name":"Fiona Stanley Hospital, Murdoch, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0810-7761","authenticated-orcid":false,"given":"Edward","family":"Wang","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital, Murdoch, Western Australia, Australia"},{"name":"School of Surgery, The University of Western Australia, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Andrews","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital, Murdoch, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"2025082723180476000_16.10.e254103.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1014001"},{"key":"2025082723180476000_16.10.e254103.2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.6.1741499"},{"key":"2025082723180476000_16.10.e254103.3","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.ccm.2018.04.004","article-title":"Intraluminal arterial filling defects Misdiagnosed as pulmonary emboli: what else could they be?","volume":"39","author":"Rudkovskaia","year":"2018","journal-title":"Clin Chest Med"},{"key":"2025082723180476000_16.10.e254103.4","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.hrtlng.2014.05.006","article-title":"Unresolved pulmonary embolism leading to a diagnosis of pulmonary artery sarcoma","volume":"43","author":"Guti\u00e9rrez","year":"2014","journal-title":"Heart Lung"},{"key":"2025082723180476000_16.10.e254103.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.03.013"},{"key":"2025082723180476000_16.10.e254103.6","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1111\/ans.17542","article-title":"Rare case of pulmonary artery intimal sarcoma managed by Pneumonectomy","volume":"92","author":"Saxena","year":"2022","journal-title":"ANZ J Surg"},{"key":"2025082723180476000_16.10.e254103.7","doi-asserted-by":"crossref","first-page":"E37","DOI":"10.1111\/ans.13967","article-title":"Chronic peritoneal inflammation and nodules masquerading as peritoneal Carcinomatosis in Birt-Hogg-Dube syndrome","volume":"89","author":"Kam","year":"2019","journal-title":"ANZ J Surg"},{"key":"2025082723180476000_16.10.e254103.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.07.019"},{"key":"2025082723180476000_16.10.e254103.9","doi-asserted-by":"publisher","DOI":"10.1148\/rg.291085061"},{"key":"2025082723180476000_16.10.e254103.10","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.hlc.2017.06.716","article-title":"Differential diagnosis of pulmonary artery sarcoma and central chronic pulmonary thromboembolism using CT and MR images","volume":"27","author":"Liu","year":"2018","journal-title":"Heart Lung Circ"},{"key":"2025082723180476000_16.10.e254103.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2014.05.009"},{"key":"2025082723180476000_16.10.e254103.12","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.amsu.2020.12.007","article-title":"Thrombus or Vegetation?Importance of cardiac MRI as a diagnostic tool based on case report and literature review","volume":"60","author":"El Ouazzani","year":"2020","journal-title":"Ann Med Surg (Lond)"},{"key":"2025082723180476000_16.10.e254103.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00305-X"},{"key":"2025082723180476000_16.10.e254103.14","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.44.3.1187-1189.2006"},{"key":"2025082723180476000_16.10.e254103.15","doi-asserted-by":"publisher","DOI":"10.3201\/eid0911.020683"},{"key":"2025082723180476000_16.10.e254103.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.09.004"},{"key":"2025082723180476000_16.10.e254103.17","doi-asserted-by":"crossref","first-page":"e304","DOI":"10.1097\/INF.0000000000002014","article-title":"First case of bacteremia caused by Kytococcus Schroeteri in a child with congenital adrenal hyperplasia","volume":"37","author":"Bayraktar","year":"2018","journal-title":"Pediatr Infect Dis J"},{"key":"2025082723180476000_16.10.e254103.18","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-011-0021-x"},{"key":"2025082723180476000_16.10.e254103.19","doi-asserted-by":"crossref","first-page":"86","DOI":"10.4103\/lungindia.lungindia_103_20","article-title":"Congenital isolated unilateral hypoplasia of the left pulmonary artery: A rare incidental anomaly in an elderly female","volume":"38","author":"Jariwala","year":"2021","journal-title":"Lung India"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:18:15Z","timestamp":1756361895000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":19,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,4]]},"published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1136\/bcr-2022-254103"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254103","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}