Intralobar Pulmonary Sequestration Supplied by an Anomalous Aneurysmal Artery

Ando, Koji; Adachi, Hiroyuki; Konishi, Toshio; Fukata, Mutsumu; Furukawa, Hiroshi; Kakuta, Yukio; Masuda, Munetaka

doi:10.1016/j.athoracsur.2011.05.103

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…It can also receive direct branches from the coeliac axis or splenic artery. Pulmonary sequestration with an aneurysmal systemic artery is extremely rare 15 . Studies found PS occurring in RML receiving blood supply from an aberrant artery in the fissure or left coronary artery, or multiple feeding arteries from the internal mammary artery or the diaphragmatic artery, and also from the renal artery.…”

Section: Discussionmentioning

confidence: 99%

Intralobar pulmonary sequestration: a rare cause of hemoptysis: a case report

Khandelwal,

Mittal,

Sharma

et al. 2024

Annals of Medicine &Amp; Surgery

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Overview and significance: Pulmonary sequestration (PS) is a rare congenital anomaly characterized by aberrant formation of nonfunctional lung tissue with anomalous systemic blood supply. Despite its rarity, PS presents significant diagnostic and management challenges, often necessitating a multidisciplinary approach for optimal patient outcomes. This case report provides insights into the clinical presentation, diagnostic modalities, and management strategies for PS. Case summary: We present a case of a 30-year-old male who complained of chronic cough and hemoptysis and was eventually diagnosed with intralobar PS by computed tomography (CT) imaging. The patient underwent a surgical procedure, specifically a lobectomy, to address the lung tissue. Clinical discussion: The diagnosis of intralobar PS is confirmed by CT imaging showing features of abnormalities including irregular cystic communication. A large area with abnormal systemic arterial supply and variable venous fluid. This patient presented with symptoms consistent with PS, including chronic cough and hemoptysis, highlighting the importance of timely diagnosis and intervention to prevent life-threatening complications. Conclusion: Lung sequestration has diagnostic challenges due to its variable clinical presentation and potential for misdiagnosis. However, advances in technology such as CT angiography make accurate diagnosis and precise surgical planning easier. Prompt intervention via lobectomy or transarterial embolization is important to reduce the risk of life-threatening complications associated with PS. These data highlight the importance of multidisciplinary collaboration between physicians, radiologists, and surgeons to effectively manage PS and improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Intralobar pulmonary sequestration: a rare cause of hemoptysis: a case report

Khandelwal,

Mittal,

Sharma

et al. 2024

Annals of Medicine &Amp; Surgery

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“…To our knowledge, this is the first report of a child with double ELS with anomalous arterial supply in the left thoracic cavity. Before this reported patient, the cases of rare PS mainly included the following types: variation of the source of arterial supply (7,8), variation of venous drainage (9), variation of anatomical position (10), bilateral PS (11), and PS connecting with the digestive tract (12). A significant number of these patients were incidentally confirmed to have mutations during surgery.…”

Section: Discussionmentioning

confidence: 99%

Case Report: An extremely rare case of double extralobar pulmonary sequestration with anomalous supplying arteries originating from the abdominal aorta in the left thoracic cavity

Zhai

Zhao

et al. 2022

Front. Pediatr.

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To the best of our knowledge, double or multiple extralobar pulmonary sequestrations (PSs) with anomalous arterial supply in the ipsilateral thoracic cavity have rarely been reported before. PS can be divided into two types: intralobar sequestration (ILS) and extralobar sequestration (ELS). We encountered a 5-month-old infant with double ELS in the left thoracic cavity that was incidentally detected during thoracoscopic surgery. Surgical exploration revealed two separate, well-circumscribed abnormal masses in the left thoracic cavity, and the patient was successfully treated using thoracoscopic surgery. Postoperative pathology confirmed that both masses were PS tissues. Accurate preoperative diagnosis using CT alone may be inadequate in this type of case. Therefore, thoracoscopy may be more suitable for diagnosing and treating unusual ELS.

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“…However, multiplanar CT and 3-dimensional reconstruction have been increasingly replacing this diagnostic method due to their lower invasiveness, better spatial resolution in depicting the vessel anatomy of the sequestrated lung tissue [ 3 , 4 ], and reduced risk of unexpected bleeding in operation. Although the employment of coil embolization as a promising technique has been reported, some authors, such as Kohei Ando [ 5 ], consider it just a solution to deal with the patient of “anomalous systemic arterial supply to the normal lung”.…”

Section: Discussionmentioning

confidence: 99%

Intralobar pulmonary sequestration displayed as localized emphysema on computed tomography image

Zhao

Shi

et al. 2017

J Cardiothorac Surg

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BackgroundPulmonary sequestration is a relatively rare condition in which a systemic artery supplies blood to an abnormal lung tissue and the normal connection with the bronchial tree is absent. It can be displayed as various signs on the computed tomography image, but emphysema is extremely rare.Case presentationWe describe the case of a 35-year-old man with intralobar pulmonary sequestration that appeared as localized emphysema on the computed tomography image. The 3-D reconstruction revealed the presence of an anomalous feeding artery and the absence of normal connection with the bronchial tree.ConclusionWe presumed that it was a type between “anomalous systemic arterial supply to the normal lung” and the common type of pulmonary sequestration. Common pulmonary lobectomy was performed and the patient recovered well.

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Intralobar Pulmonary Sequestration Supplied by an Anomalous Aneurysmal Artery

Cited by 8 publications

References 5 publications

Intralobar pulmonary sequestration: a rare cause of hemoptysis: a case report

Intralobar pulmonary sequestration: a rare cause of hemoptysis: a case report

Case Report: An extremely rare case of double extralobar pulmonary sequestration with anomalous supplying arteries originating from the abdominal aorta in the left thoracic cavity

Intralobar pulmonary sequestration displayed as localized emphysema on computed tomography image

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