Anomalous Systemic Arterial Supply to the Left Lung Base Without Sequestration

Albertini, Alberto; Dell’Amore, Andrea; Tripodi, Alberto; Giglio, Mauro Del; Pagliaro, Marco; Calvi, Simone; Aquino, Tommaso; Fedeli, Corrado; Magnano, Diego; Zussa, Claudio; Lamarra, Mauro

doi:10.1016/j.hlc.2007.08.008

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…While many patterns of anomalous artery have also been sporadically reported 2 3 , an anomalous artery from descending aorta that supplied part of the left upper lobe, as in the current case, has not been reported previously.…”

Section: Introductionmentioning

confidence: 40%

Aberrant Bronchial Artery to Non-Sequestrated Left Upper Lobe in Massive Hemoptysis

2015

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Systemic arterial supply from the descending thoracic aorta to the basal segment of the left lower lobe without a pulmonary arterial supply is a rare congenital anomaly within the spectrum of sequestration lung disease. The most common pattern of anomalous systemic artery to the lung arises from the descending thoracic aorta and feeds the basal segments of the left lower lobe. We report an extremely rare case of a 29-year-old woman who underwent a successful left upper lobectomy for the treatment of recurrent massive hemoptysis from anomalous bronchial arterial supply to the lingular segment of left upper lobe.

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Section: Introductionmentioning

confidence: 40%

Aberrant Bronchial Artery to Non-Sequestrated Left Upper Lobe in Massive Hemoptysis

2015

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“…Ligation of the anomalous vessels alone is also reported [11,17]. Lobectomy is generally not recommended if the lung segment has a normal bronchial connection, as was the situation in the small preterm baby in our series [11,15]. Brühlmann [24].…”

Section: Heart Lung and Circulationmentioning

confidence: 60%

“…In adults, the anomalous connection has been predominately treated with lobectomy or surgical ligation of anomalous artery [6,[13][14][15][16]. Lobectomy with ligation of anomalous artery by video assisted thoracoscopic surgery is also described [21].…”

Section: Heart Lung and Circulationmentioning

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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“…Generally the arterial blood comes from a single anomalous branch of the thoracic or less frequently are multiple or from the abdominal aorta. Generally, the venous connection is normal, and in very rare cases there is an anomalous connection with the bronchial tree (2,3). The majority of PS is classified into two main categories: intralobar sequestration (ILS) and extralobar sequestration (ELS).…”

Section: Introductionmentioning

confidence: 99%

Uniportal thoracoscopic resection of intralobar and extralobar pulmonary sequestration

Dell’Amore¹,

Giunta²,

Campisi³

et al. 2018

J. Vis. Surg.

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Pulmonary sequestration (PS) is a rare congenital malformation of the respiratory tract. Two main variants are described, the intralobar and the extralobar PS. Clinical manifestations vary from accidental findings to life threatening complications. Surgical resection is the definitive and indicated treatment of PS. The operation could be performed through an open thoracotomy or video-assisted thoracic surgery approach. We report the management of two patients with diagnosis of extralobar PS in the first case and intralobar PS in the second case. Both patients underwent uniportal video-assisted thoracic surgery resection of PS with success. In our experience, we confirm that uniportal video-assisted thoracic surgery is a safe and feasible approach for extralobar and intralobar PS. both reported cases MRI and angiography were not necessary because the angio-CT scan images were considered optimal for the identification of the aberrant vessels and surgical planning. Patient 1 (Figure 1)A 26-year-old female was admitted to our hospital because of left lower lobe pneumonia. At the clinical history the patient reports recurrent episodes of respiratory infection since childhood, much more frequent in the last 5 years. A computed tomography (CT) scan of the thorax was performed documenting the presence of a lesion in the basal segments of left lower lobe, with a diameter about 8.6 cm × 4.4 cm × 3.2 cm ( Figure 1A). The angio-CT-scan showed the presence of an aberrant arterial branch of the descending thoracic aorta measuring 9 mm in diameter connected to the lesion ( Figure 1B,C). Findings matched with intra-lobar sequestration. Further pre-operative investigations comprising bronchoscopy, pulmonary function test and echocardiography were strictly normal. Patient was recommended for surgery and she was referred to our department. Patient 2 (Figure 2)The patient was a 56-year-old woman with history recurrent respiratory infection and a recent endocarditis of the aortic valve with brain embolisms. After treatment of the endocarditis, the following cardiological, vascular and neurological evaluations were negative. Thus she underwent total body angio-CT-scan which showed an anomalous area of left lower lobe parenchyma separated with the normal one by an accessory fissure (Figure 2A,B) with two separate feeding arteries arising from the descending thoracic aorta suggestive for extralobar lung sequestration ( Figure 2C). Further, pre-operative investigations comprising bronchoscopy, pulmonary function test and echocardiography were strictly normal. The patient was recommended for surgery and she was referred to our department. Pre-operative preparationRoutine laboratory tests, chest X-ray, electrocardiography (EKG).Equipment preference card: all surgical instruments used were exactly the same for both patients. Patients positioningA double-lumen endotracheal tube is inserted, then, the patients are placed in a lateral decubitus on the table next to its anterior edge with the arm in the swimming position. The table ...

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Anomalous Systemic Arterial Supply to the Left Lung Base Without Sequestration

Cited by 18 publications

References 14 publications

Aberrant Bronchial Artery to Non-Sequestrated Left Upper Lobe in Massive Hemoptysis

Aberrant Bronchial Artery to Non-Sequestrated Left Upper Lobe in Massive Hemoptysis

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

Uniportal thoracoscopic resection of intralobar and extralobar pulmonary sequestration

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