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CardioVascular and Interventional Radiology

, Volume 38, Issue 5, pp 1308–1311 | Cite as

Endovascular Treatment of an Aneurysmal Aberrant Systemic Artery Supplying a Pulmonary Sequestrum

  • Katrine Lawaetz KristensenEmail author
  • Louise Aarup Duus
  • Bo Elle
Case Report

Abstract

An aberrant systemic artery originating from the abdominal aorta supplying a pulmonary sequestration is a rare congenital malformation. This causes a left-to-left shunt. Symptoms include recurrent pneumonias, hemoptysis, and, in the long term, heart failure. Aneurysm of the aberrant vessel is rarely seen. Traditionally, treatment of pulmonary sequestrations includes ligation of the feeding vessel and lobectomy. A new promising treatment is an endovascular approach. Only a few cases describe endovascular treatment of pulmonary sequestration. This is the first published case of a giant aneurysmal branch from the abdominal aorta to the normal basal segments of the lung, successfully occluded with an Amplatzer Vascular Plug II (AVP II, St.Jude Medical, MN, USA) alone.

Keywords

Pulmonary sequestration Aberrant artery aneurysm Endovascular Amplatzer Vascular Plug II 

Notes

Conflict of interest

Katrine Lawaetz Kristensen, Louise Aarup Duus, and Bo Elle have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from the patient included in this case report.

Statement of Human and Animal Rights

Does not apply to this article.

References

  1. 1.
    Savic B, Birtel FJ, Tholen W, Funke HD, Knoche R (1979) Lung sequestration: report of seven cases and review of 540 published cases. Thorax 34(1):96–101CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Pryce DM (1946) Lower accessory pulmonary artery with intralobar sequestration of lung; a report of seven cases. J Pathol Bacteriol 58(3):457–467CrossRefPubMedGoogle Scholar
  3. 3.
    Schena S, Crabtree TD, Zoole JB, Patterson GA (2007) Intralobar pulmonary sequestration associated with an aneurysmal aberrant aortic branch. J Thorac Cardiovasc Surg 134(2):535–536CrossRefPubMedGoogle Scholar
  4. 4.
    Tatli S, Yucel EK, Couper GS, Henderson JM, Colson YL (2005) Aneurysm of an aberrant systemic artery to the lung. AJR Am J Roentgenol 184(4):1241–1244CrossRefPubMedGoogle Scholar
  5. 5.
    Canyigit M, Gumus M, Kilic E, Erol B, Cetin H, Hasanoglu HC et al (2011) Aneurysm of an anomalous systemic artery supplying the normal basal segments of the left lower lobe: endovascular treatment with the Amplatzer Vascular Plug II and coils. Cardiovasc Intervent Radiol 34(Suppl 2):S126–S130CrossRefPubMedGoogle Scholar
  6. 6.
    Chen CW, Chou TY, Yeh YC, Huang MH, Wu MH, Sheu MH et al (2011) Giant branching aneurysmal aberrant systemic artery for intralobar pulmonary sequestration: computed tomographic depiction of arterial and bronchial anomaly. J Chin Med Assoc 74(8):372–375CrossRefPubMedGoogle Scholar
  7. 7.
    Ragusa M, Vannucci J, Lenti M, Cieri E, Cao P, Puma F (2010) Pulmonary sequestration supplied by giant aneurysmal aortic branch. Ann Thorac Surg 89(2):e7–e8CrossRefPubMedGoogle Scholar
  8. 8.
    Chabbert V, Doussau-Thuron S, Otal P, Bouchard L, Didier A, Joffre F et al (2002) Endovascular treatment of aberrant systemic arterial supply to normal basilar segments of the right lower lobe: case report and review of the literature. Cardiovasc Intervent Radiol 25(3):212–215CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2015

Authors and Affiliations

  • Katrine Lawaetz Kristensen
    • 1
    Email author
  • Louise Aarup Duus
    • 2
  • Bo Elle
    • 3
  1. 1.Department of Thoracic and Vascular SurgeryOdense University HospitalOdenseDenmark
  2. 2.Department of RadiologySygehus Lillebaelt VejleVejleDenmark
  3. 3.Department of RadiologyOdense University HospitalOdenseDenmark

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