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.