Interruption of the right middle and lower lobe pulmonary arteries combined with arterial aneurysm formation at the origin of the right subclavian artery branch: a case report - Takeaways - MDSpire

Interruption of the right middle and lower lobe pulmonary arteries combined with arterial aneurysm formation at the origin of the right subclavian artery branch: a case report

  • By

  • Chengshi Hou

  • Guocheng Zhao

  • May 18, 2026

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  • 1

    A 64-year-old female presented with interrupted pulmonary arteries in the right middle and lower lobes and a right subclavian artery aneurysm.

  • 2

    CT pulmonary angiography confirmed congenital interruption of the right middle and lower lobe pulmonary arteries with collateral circulation and pulmonary hypertension.

  • 3

    The patient's symptoms included chest tightness and shortness of breath, with elevated D-dimer levels prompting further imaging evaluation.

  • 4

    Treatment focused on managing pulmonary hypertension and conservative monitoring of the right subclavian artery aneurysm due to the patient's stable condition.

  • 5

    Regular follow-up assessments showed stable blood pressure, lipid levels, and no progression of pulmonary arterial hypertension or aneurysm enlargement.

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