Tuberc Respir Dis.  2014 Jun;76(6):295-298.

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

• Kim JH
• Kim SS
• Ha KS
• Bae J
• Park Y

Abstract

Pulmonary systemic arterialization to normal basal lung without sequestration is a rare congenital anomaly. In this rare abnormality, arterialization of the left lower lobe is the most common type. In general, surgical treatments have been performed. Recently, for reducing the complications and risks of surgery, embolization is mainly attempted by using coils. We report a case of 22-year-old male patient with a 10 mm anomalous arterial supply to his normal lung, which is being successfully treated by transcatheter embolization when using the Amplatzer Vascular Plug that has been adapted for the treatment of high-flows and large artery occlusions.

Keyword

Pulmonary Artery; Respiratory System Abnormalities; Embolization, Therapeutic

MeSH Terms

Arteries
Embolization, Therapeutic
Humans
Lung
Male
Pulmonary Artery
Respiratory System Abnormalities
Young Adult

Figure

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  Figure 1 (A) Computed tomography (CT) reveals a large anomalous artery from the distal descending thoracic aorta supplying the basal segment of right lower lobe. (B) CT shows a ground-glass attenuation and consolidation in the posterior of the right lower lobe.

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  Figure 2 Bronchoscopy reveals that the normal major bronchial branch and the right 2nd carina are bleeding evidences and woozing after saline washing.

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  Figure 3 (A, B) Angiography showing an large anomalous systemic artery from the descending aorta which supplies the segment of the right lower lobe. (C, D) A complete occlusion of the large anomalous systemic artery after embolization by using the Amplatzer Vascular Plug.

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  Figure 4 Four days follow-up of the chest radiograph shows haziness and pleural effusions in the right lower lobe.

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  Figure 5 (A, B) A follow-up contrast-enhanced computed tomography examination at 5 months demonstrates that the Amplatzer Vascular Plug is located at the anomalous systemic pulmonary feeding artery without parencheymal complications.

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