Korean J Thorac Cardiovasc Surg.  2006 Mar;39(3):230-235.

Treatment of Systemic Arterial Supply to Lower Lobe of Left Lung (Operation vs. Embolotherapy): Comparison of Two Cases and Literature Review

• Kim ES
• Jeon EY
• Rhee GW
• Goo DE

Abstract

Systemic arterialization of lung with/without sequestration (Sequestration/Anomalous Origin of Left Pulmonary Artery, AOLPA) is a rare form of congenital anomalous systemic arterial supply to the lungs. In this anomaly, the arterial supply of one or more arteries of the basal segments of the lower lobe derives from an aberrant vessel arising from the aorta. We report two adult cases of systemic arterialization of normal basal segments of left lower lobe lung with/without sequestration. The one (AOLPA) was treated by left lower basal segmentectomy and the other (Sequestration) by therapeutic angiographic embolization. Based on the favorable follow-up result in our patients, although lobectomy (segmentectomy) is the basic treatment modality, embolotherapy could also be a mode of treatment that could be selectively applied to elderly, infirm patients or high risk patients with poor pulmonary function.

Keyword

Lung, anomaly; Pulmonary arteries; Embolization

MeSH Terms

Adult
Aged
Aorta
Arteries
Embolization, Therapeutic
Follow-Up Studies
Humans
Lung*
Mastectomy, Segmental
Pulmonary Artery