Pulmonary arterial
endarteritis is a rare event even in
patients with
congenital heart disease. In this
paper, the authors
report two cases of pulmonary
endarteritis diagnosed at
autopsy. The first was a 3-month-old
male infant with absence of
congenital heart defect (
who had had
neonatal sepsis). This
patient presented with
pneumonia and succumbed within 36 hours of
hospital stay despite appropriate antimicrobial
therapy and supportive management. The second
patient was a 13-month-old
male child with previously undiagnosed
tetralogy of Fallot who had clinical presentation of acute
meningitis with convulsions and succumbed within 12 hours of
hospital stay despite adequate
treatment. The main
autopsy findings were chronic
arteritis of the pulmonary trunk and right
pulmonary artery in the former and
rupture of the pulmonary trunk in the latter.