Figure 3. Patent ductus arteriosus and an abnormal origin of the right pulmonary artery from the right ascending aorta, which has compressed the right main bronchus.
The final diagnosis was hemoptysis with atelectasis because of Patent Ductus Arteriosus and an abnormal origin of the right pulmonary artery from the ascending aorta, which caused compression of the right main bronchus. The patient was managed conservatively for the hemoptysis. The patient was given supplementary oxygen and IV antibiotics for 3 days to manage his pneumonia.
However, the patient returned a year later, in 2022, with similar complaints. During this episode, the patient was again managed conservatively with antifibrinolytics and cough suppressants and was advised to rest for the next 10 days. However, Tab. Tadalafil 20 mg was added to control pulmonary hypertension. The patient was also administered the pneumococcal and annual flu vaccines to avoid any further infectious complications. The patient was advised to make follow-up visits in 3 months for close monitoring and improving pulmonary hypertension.