Systemic Arterial Supply to the Normal Basal Segments of the Left Lower Lobe of the Lung—Treatment by Coil Embolization—and a Literature Review

Abe, Takashi; Mori, Kensaku; Shiigai, Masanari; Okura, Naoki; Okamoto, Yoshikazu; Sakai, Mitsuaki; Minami, Manabu

doi:10.1007/s00270-010-9798-x

Cited by 35 publications

(28 citation statements)

References 7 publications

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“…The number of coils used in our cases was minimal, and the long-term outcome is unknown. In cases of systemic arterial supply to the basal segments of the lower lobe without sequestration, therapeutic transarterial embolization without lung resection can be an alternative treatment option (11,12); however, there is no report about the same therapy in the case of sequestration.…”

Section: Discussionmentioning

confidence: 99%

Endostapling the aberrant artery filled with embolized coils for intralobar pulmonary sequestration: a report of two cases

Sakai¹,

Ozawa²,

Konishi³

et al. 2018

J. Thorac. Dis.

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Intrapulmonary sequestration is a rare congenital bronchopulmonary malformation. Surgery is generally standard treatment, and thoracoscopic resection has been accepted recently. Some patients have inflammatory change of the sequestrated lung and adhesion to the adjacent organs. In those cases, it is difficult to identify the aberrant artery. In thoracoscopic surgery cases, fatal intraoperative hemorrhage from the aberrant artery has been reported. We describe two patients with infected intralobar pulmonary sequestration who were treated by endostapling the aberrant artery filled with embolized coils. A 28-year-old man who had complained of right back pain and high fever was admitted to our hospital. The chest computed tomography (CT) scan showed infected intralobar pulmonary sequestration with consolidation and fluid collection in the right lower lobe. An aberrant artery entered the consolidation from the celiac trunk. After coil embolization, thoracoscopic right lower lobectomy was performed with endostapling of the aberrant artery, which had a diameter of 10 mm and was filled with metallic coils. A 51-year-old woman who had complained of repeated pneumonia was admitted to our hospital. The chest CT scan showed infected intralobar pulmonary sequestration with consolidation and fluid collection in the basal segment of the right lower lobe. After coil embolization, thoracoscopic right lower lobectomy was performed with endostapling of the aberrant artery arising from the right inferior phrenic artery, which had a diameter of 5 mm and was filled with coils. Both patients' clinical courses were uneventful postoperatively. Pathological examinations confirmed intralobar pulmonary sequestration with pneumonia. Endostapling with coils for treating the aberrant artery in pulmonary sequestration is a simple and safe technique of thoracoscopic resection. A coilembolized artery can be identified easily in the inflamed, scarred pulmonary ligament, and intraoperative bleeding from the aberrant artery can be prevented.

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Section: Discussionmentioning

confidence: 99%

Endostapling the aberrant artery filled with embolized coils for intralobar pulmonary sequestration: a report of two cases

Sakai¹,

Ozawa²,

Konishi³

et al. 2018

J. Thorac. Dis.

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“…Our patients will come under Pryce Type I. Systemic arterial supply to normal basal segments of the lung is characterized by the presence of an anomalous systemic artery, usually absence of the pulmonary artery, and normal bronchial system function in the affected segments along with normal pulmonary venous drainage [6,7]. Embryologically the anomalous artery to the lung represents a persistent pulmonary-splanchnic collateral.…”

Section: Anomalous Systemic Vascular Supply To a Normal Segment Of A mentioning

confidence: 99%

Anomalous Systemic Arterial Supply to Normal Basal Segment of the Left Lung

Singhi

Nicholson

Francis

et al. 2011

Heart, Lung and Circulation

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“…[78] Post-operative massive hemorrhage from the aorta is devastating; however, scant archive underlined the importance of vessel handling techniques[9] and perioperative managements. The aberrant arteries in this disease are distinct from bronchial arteries, histologically having an elastic-type (so-called pulmonary type) arterial wall.…”

Section: Casementioning

confidence: 99%

Ligation is not enough to secure the aortic end of the anomalous systemic artery

Huang

Chen

et al. 2013

North Am J Med Sci

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Systemic Arterial Supply to the Normal Basal Segments of the Left Lower Lobe of the Lung—Treatment by Coil Embolization—and a Literature Review

Cited by 35 publications

References 7 publications

Endostapling the aberrant artery filled with embolized coils for intralobar pulmonary sequestration: a report of two cases

Endostapling the aberrant artery filled with embolized coils for intralobar pulmonary sequestration: a report of two cases

Anomalous Systemic Arterial Supply to Normal Basal Segment of the Left Lung

Ligation is not enough to secure the aortic end of the anomalous systemic artery

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