Therapeutic embolization of systemic arterial supply to normal basal segments of the left lower lobe of the lung

Abstract

Systemic arterialization of normal lung without sequestration is a rare congenital abnormality. The basal segments of the left lower lobe are most frequently involved. The involved lung has no structural abnormalities of the tracheobronchial tree that distinguish this abnormality from bronchopulmonary sequestration. Haemoptysis and exertional dyspnoea are common presenting symptoms. We report the case of a 26-year-old man who presented with recurrent haemoptysis due to systemic arterialization of basal segments of the left lower lobe of the lung, without sequestration. Therapeutic embolization using metallic coils was successfully performed without any complications. There was no further haemoptysis during a 6-month follow up. Therapeutic embolization is a safe and effective method of managing the haemoptysis associated with aberrant systemic arterial supply to the normal lung.

Anomalous Arterial Supply to Normal Basal Segment of the Right Lower Lobe: Endovascular Treatment with the Amplatzer Vascular Plug

“…In recent years, because of high surgery related morbidity and mortality, (vascular plug 8-AV malformation) the endovascular embolization technique has been increasingly used for the treatment of this disease. Mainly, the endovascular materials used coils5,9,10,11. However, in this case, the diameter of the feeding artery was about 10 mm which could be associated with high risks of incomplete occlusion, recanalization and embolization of the coil12.…”

Endovascular treatment of isolated arterial pulmonary malinosculation

“…[ 5 ] Metallic coils were the preferred embolic materials in the previously reported cases. [ 6 7 8 9 10 ] Most of the times, multiple coils were required. Using NBCA glue along with multiple coils to form a compact mass of coils has also been reported.…”

“…None of the previously reported 11 cases of endovascular treatment developed any major complications and none of them required surgery. [ 6 8 9 10 12 ] Mild chest pain after the procedure has been reported frequently.…”

Surgical treatment of abnormal systemic artery to the left lower lobe: A case report

“…Hemoptysis is the most common manifestation, while some patients may exhibit no symptoms; in rare cases, patients may develop fever and cough with or without expectoration[ 2 - 4 ]. Surgical resection or therapeutic embolization are the main treatment modalities, while some cases may require vascular reconstruction[ 2 , 5 , 6 ]. We report a senile patient with ASALLL who was successfully treated by surgical resection.…”