Endovascular exclusion and open resection of aberrant pulmonary artery aneurysm associated with intralobar pulmonary sequestration

Presentation and Management of Pulmonary Sequestration With an Aneurysmal Aberrant Pulmonary Artery

“…In this case, we performed endovascular embolization before VATS wedge resection of the BPS, avoiding the risk of intrathoracic bleeding during lung resection, as well as the need for a separate abdominal surgery. An alternative approach involves thoracic endovascular stent exclusion of the pulmonary artery prior to lobectomy, which involves placement of an aortic stent graft over the aberrant arterial origin to exclude arterial flow from the aorta [11][12][13]. This option, however, is generally used with an aberrant artery of thoracic origin and would have led to occlusion of the celiac and possibly superior mesenteric arteries in our patient.…”

Isolated endovascular repair of anomalous systemic arterial supply to the left basal lung

“…Based on previous literature, treatment options are as follows: simultaneous division or ligation of the aberrant feeding artery and segmental lobectomy; isolated treatment of the aberrant feeding artery, including surgical ligations or division under thoracotomy or Video-Assisted Thoracoscopic Surgery (VATS); endovascular procedures, such as coil or plug embolization to the aberrant feeding artery or TEVAR to occlude it; and, unifocalized anastomosis between the aberrant feeding artery and the pulmonary artery. The outcomes of both J o u r n a l P r e -p r o o f surgical repair and endovascular treatments for aberrant aneurysm with PS were good without major complications [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In these reports, surgical lobectomy was performed in 8 cases; TEVAR and secondary lobectomy was chosen in cases.…”

“…The outcomes of both surgical repair and endovascular treatments for aberrant aneurysm with PS were good without major complications. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 In these reports, surgical lobectomy was performed in eight cases; TEVAR and secondary lobectomy were chosen in five cases. Embolization was performed in two cases, one of which was by TEVAR.…”