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Asami M, Dejima H, Yamauchi Y, Saito Y, Saito K, Kondo H, Sakao Y. Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports. Ann Thorac Cardiovasc Surg 2024; 30:n/a. [PMID: 36927845 PMCID: PMC10902647 DOI: 10.5761/atcs.cr.23-00023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
Abstract
Systemic arterial blood supply to a normal lung is a rare anatomical abnormality. Surgery is usually indicated because this abnormality leads to pulmonary hypertension. Herein, we report our experience and ideas for safe vessel dissection. Case 1 was a woman in her 50s. We performed a left lower lobectomy following percutaneous coil embolization. The aberrant artery with emboli was confirmed intraoperatively by cone-beam computed tomography (CBCT) to safely dissect under thoracoscopic surgery (TS). Case 2 was a man in his 40s. Following percutaneous endovascular plug occlusion, we performed a left partial resection using indocyanine green fluorescence navigation. Intraoperatively, CBCT imaging demonstrated the aberrant artery and exact position of the emboli. This combination technique of interventional radiology and TS with CBCT imaging was considered safe and more secure for the treatment of anomalous systemic arterial blood supply to a normal lung.
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Affiliation(s)
- Momoko Asami
- Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
| | - Hitoshi Dejima
- Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
- Department of Pathology, Teikyo University School of Medicine, Tokyo, Japan
| | - Yoshikane Yamauchi
- Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
| | - Yuichi Saito
- Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
| | - Koji Saito
- Department of Pathology, Teikyo University School of Medicine, Tokyo, Japan
| | - Hiroshi Kondo
- Department of Radiology, Teikyo University Hospital, Tokyo, Japan
| | - Yukinori Sakao
- Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
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Kuroda Y, Morita K, Toyoshima Y, Kamei N, Hatakeyama T. Anomalous systemic arterial supply to the basal segment of the left lung: The role of balloon occlusion pulmonary angiography. Pediatr Int 2023; 65:e15451. [PMID: 36527325 DOI: 10.1111/ped.15451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 10/24/2022] [Accepted: 12/14/2022] [Indexed: 12/23/2022]
Affiliation(s)
- Yasuhiro Kuroda
- Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan
| | - Keiichi Morita
- Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan
| | - Yuka Toyoshima
- Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan
| | - Naoya Kamei
- Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan
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Wu Z, Xu B, Zhou D, Yang X. Anomalous systemic arterial supply to the left lower lung lobe: A case report. Front Med (Lausanne) 2022; 9:904431. [PMID: 35935777 PMCID: PMC9354403 DOI: 10.3389/fmed.2022.904431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 06/30/2022] [Indexed: 11/13/2022] Open
Abstract
Background An anomalous systemic arterial supply to the lung lobes is a rare congenital pulmonary vascular malformation. Current treatments include thoracoscopic lobectomy, anatomical segmentectomy, simple ligation and arterial embolization. However, the optimal treatment remains controversial. Case presentation A 29-year-old man was diagnosed with anomalous systemic arterial supply to the left lower lobe through contrast-enhanced computed tomography and three-dimensional reconstruction. He underwent coil embolization of the anomalous artery and was followed up for 1 year. Conclusions Blockage of the blood flow of the anomalous systemic artery alone does not improve the blood supply of the pulmonary artery to lung tissue and thus cannot restore normal gas exchange through the blood-gas barrier. Coil embolization of the anomalous arterial supply can cause early postoperative pulmonary infarction.
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Chidiac G, Ammanouil E, Tannouri F, El Haddad C, El Amine R. Systemic Arterial Supply to the Basal Part of the Right Lung without Sequestration: Treatment by Coil Embolization. THE ARAB JOURNAL OF INTERVENTIONAL RADIOLOGY 2022. [DOI: 10.1055/s-0042-1745712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Georgio Chidiac
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
- Department of Dermatology, University Hospital Center – Notre Dame des Secours, Byblos, Lebanon
| | - Emmanuel Ammanouil
- Department of Diagnostic Radiology, Lebanese American University, Beirut, Lebanon
- Department of Diagnostic Radiology, Lebanese American University Medical Center, Rizk Hospital, Beirut, Lebanon
| | - Fadi Tannouri
- Department of Diagnostic Radiology, Université Libre de Bruxelles, Brussels, Belgium
- Department of Diagnostic Radiology, University Hospital Center – Notre Dame des Secours, Byblos, Lebanon
| | - Céline El Haddad
- Department of Diagnostic Radiology, Université Libre de Bruxelles, Brussels, Belgium
| | - Rayan El Amine
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
- Department of Diagnostic Radiology, University Hospital Center – Notre Dame des Secours, Byblos, Lebanon
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Zhang YY, Gu XY, Li JL, Liu Z, Lv GY. Surgical treatment of abnormal systemic artery to the left lower lobe: A case report. World J Clin Cases 2021; 9:8192-8198. [PMID: 34621880 PMCID: PMC8462215 DOI: 10.12998/wjcc.v9.i27.8192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 06/30/2021] [Accepted: 08/03/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Abnormal systemic artery to the left lower lobe is a rare congenital abnormality characterized by anomalous communication between the systemic and pulmonary circulation. Owing to its rarity, there is limited clinical experience with respect to the diagnosis and treatment of this disease.
CASE SUMMARY We report a 60-year-old man who presented with a history of hemoptysis for 20 d. Contrast-enhanced computed tomography of the chest confirmed the diagnosis of abnormal systemic artery to the left lower lobe, and surgical treatment was performed. The aberrant artery arising from the descending thoracic aorta was ligated, followed by removal of the left lower lobe. The patient showed good recovery and was discharged 6 d after the surgery. At the 1-year follow-up, the patient had recovered completely, and lung CT showed no abnormal findings.
CONCLUSION We present a case of abnormal systemic artery to the left lower lobe that was successfully managed by surgical resection of the aberrant artery and the left lower lobe. This case report adds to the clinical experience of diagnosing and treating this rare entity.
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Affiliation(s)
- Yi-Yuan Zhang
- Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
| | - Xiao-Ying Gu
- Department of Anesthesiology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
| | - Jia-Lin Li
- Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
| | - Zhao Liu
- Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
| | - Guo-Yue Lv
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
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Hu B, Lan Y, Li Q, Yang X, Tian B, Qing H, Zhou P, Wang T, Yang X. Merged image reconstruction for anomalous systemic arterial supply to a normal lung. J Med Radiat Sci 2020; 67:151-154. [PMID: 32118356 PMCID: PMC7276187 DOI: 10.1002/jmrs.383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 01/15/2020] [Indexed: 02/05/2023] Open
Abstract
We present a rare case of anomalous systemic arterial supply to normal basal segments of the left lower lobe. Plain computed tomography (CT) showed an occupancy lesion in the left lower lobe. Contrast CT and merged three-dimensional (3D) image reconstruction showed that the anomalous systemic artery originated from the descending aorta and substituted the basilar segmental pulmonary artery and the arterial supply to the basilar segment of left lower lobe. We use the merged image reconstruction of 3D CT angiography and bronchography (3D-CTAB) to depict the precise location and stereoscopic shape of this vascular malformation. Therefore, we think that these data add a novel comprehensive perspective on the diagnosis of the feature of malformation and treatment planning for this rare disease.
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Affiliation(s)
- Bin Hu
- Department of Thoracic SurgerySichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Yunping Lan
- Intensive Care UnitSichuan Academy of Medical Sciences and Sichuan Provincial People's HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Qiang Li
- Department of Thoracic SurgerySichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Xiaozun Yang
- Department of Thoracic SurgerySichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Bo Tian
- Department of Thoracic SurgerySichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Haomiao Qing
- Medical imaging DepartmentSichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Peng Zhou
- Medical imaging DepartmentSichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
| | - Ting Wang
- Sichuan Lung Cancer InstituteWest China HospitalSichuan UniversityChengduChina
| | - Xiaojun Yang
- Department of Thoracic SurgerySichuan Cancer Hospital and Institute, the affiated Cancer HospitalSchool of Medicine, University of Electronic Science and Technology of ChinaChengduChina
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Miller JR, Lancaster TS, Abarbanell AM, Manning PB, Eghtesady P. Anomalous Systemic Artery to the Left Lower Lobe: Literature Review and a New Surgical Technique. World J Pediatr Congenit Heart Surg 2018; 9:326-332. [PMID: 29692233 DOI: 10.1177/2150135118755986] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Anomalous systemic arterial supply to the basal segments of the left lower lobe without coexisting pulmonary artery connection is a rare anomaly. Most feel treatment is necessary; however, the ideal strategy is unclear. Treatments described include embolization, pulmonary resection, or anastomosis to the native pulmonary artery. We recently encountered an infant with this anomaly and present a literature review summarizing all recent reports. Additionally, we describe a novel surgical technique to create a tension-free anastomosis utilizing segmental aortic translocation that we employed in our patient due to a large distance between the anomalous vessel and native left pulmonary artery.
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Affiliation(s)
- Jacob R Miller
- 1 Section of Pediatric Cardiothoracic Surgery, St Louis Children's Hospital/Washington University School of Medicine, St Louis, MO, USA
| | - Timothy S Lancaster
- 1 Section of Pediatric Cardiothoracic Surgery, St Louis Children's Hospital/Washington University School of Medicine, St Louis, MO, USA
| | - Aaron M Abarbanell
- 1 Section of Pediatric Cardiothoracic Surgery, St Louis Children's Hospital/Washington University School of Medicine, St Louis, MO, USA
| | - Peter B Manning
- 1 Section of Pediatric Cardiothoracic Surgery, St Louis Children's Hospital/Washington University School of Medicine, St Louis, MO, USA
| | - Pirooz Eghtesady
- 1 Section of Pediatric Cardiothoracic Surgery, St Louis Children's Hospital/Washington University School of Medicine, St Louis, MO, USA
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Regarding “Transarterial Embolization of Anomalous Systemic Arterial Supply to Normal Basal Segments of the Lung”. Cardiovasc Intervent Radiol 2017; 40:634-635. [DOI: 10.1007/s00270-016-1486-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2016] [Accepted: 10/13/2016] [Indexed: 10/20/2022]
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