Skip to main content
SpringerLink
Log in

Endovascular Treatment of Hemoptysis by Abnormal Systemic Pulmonary Artery Supply

  • CASE REPORT
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We report the case of a 29-year-old man with hemoptysis. The patient came to the emergency department, where a laboratory test and chest radiograph were reported as normal. The following day the patient again had hemoptysis, though less than previously. He reported no chest pain, dyspnea, fever, catarrh, changes in urine or feces, contact with patients with bacillus disease or constitutional symptoms. Doppler ultrasound of the chest showed right basal parenchymatous condensation containing a vessel with arterial flow (in the opposite direction to the aortic flow) compatible with an aberrant vessel, possibly a sequestration, leaving the aorta above the celiac trunk. Because of the findings of the chest echogram and magnetic resonance study, thoracoabdominal computed tomography angiography was undertaken; this showed right basal condensation and an anomalous vessel originating 1 cm above the celiac trunk, supplying the right lower lobe. An aortic and pulmonary arteriogram via an arterial and right femoral vein approach confirmed the findings. The patient was treated successfully with percutaneous embolization with coils. The relevant literature is reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Inoue S, Fugino K, Tezuka N, et al. (1997) A case report of anomalous systemic arterial supply to the left basal lung. Nippon Kyobu Geka Gakkai Zasshi 45:1195–1202

    PubMed  CAS  Google Scholar 

  2. Felker RE, Tonkin ILD (1990) Imaging of pulmonary sequestration. AJR Am J Roentgenol 154:241–249

    PubMed  CAS  Google Scholar 

  3. Kirks DR, Kane PE, Free EA, et al. (1976) Systemic arterial supply to normal basilar segments of the left lower lobe. AJR Am J Roentgenol 126:817

    PubMed  CAS  Google Scholar 

  4. Halkic N, Cuenoud PF, Corthesy ME, et al. (1998) Pulmonary sequestration: A review of 26 cases. Eur J Cardiothorac Surg 14:127–133

    Article  PubMed  CAS  Google Scholar 

  5. Bruehlmann W, Weishaupt D, Goebel N, et al. (1998) Therapeutic embolization of a systemic arterialization of lung without sequestration. Eur Radiol 8:355–358

    Article  Google Scholar 

  6. Pryce DM, Sellors TH, Blair LG (1947). Intralobar sequestration of lung associated with an abnormal pulmonary artery. Br J Surg 35:18

    Article  CAS  PubMed  Google Scholar 

  7. Yabek SM, Burstein J, Berman W Jr, et al. (1981) Aberrant systemic arterial supply to the left lung with congestive heart failure. Chest 80:636–637

    Article  PubMed  CAS  Google Scholar 

  8. Ishibara Y, Fukuda R, Awaya Y, et al. (1979) Anomalous systemic arterial supply to the basal segments of the lung presenting with a murmur. Eur J Pediatr 131:125–131

    Article  Google Scholar 

  9. Tao CW, Chen CH, Fuen KH, et al. (1992) Anomalous systemic arterial supply to normal basilar segments of the lower lobe of the left lung. Chest 102:1583–1585

    Article  PubMed  CAS  Google Scholar 

  10. Campbell DC Jr, Murney JA, Dominy DE (1962) Systemic arterial blood supply to a normal lung. JAMA 182:497–499

    PubMed  Google Scholar 

  11. Hessel EA II, Boyden EA, Stamm SJ, et al. (1970) High systemic origin of the sole artery to the basal segments of the left lung: Findings, surgical treatment and embryologic interpretation. Surgery 67:624–632

    PubMed  Google Scholar 

  12. Flisak ME, Chandrasekar AJ, Marsan RE, et al. (1982) Systemic arterialization of lung without sequestration. Am J Radiol 138:751–753

    CAS  Google Scholar 

  13. Painter RL, Billig DM, Epstein I (1968) Anomalous systemic arterialization of the lung without sequestration. N Engl J Med 279:866–867

    Article  PubMed  CAS  Google Scholar 

  14. Sade RM, Clouse M, Ellis FH Jr (1974) The spectrum of pulmonary sequestration. Ann Thorac Surg 18:644–658

    Article  PubMed  CAS  Google Scholar 

  15. Thilenius OG, Ruschhaupt DG, Replogle RL, et al. (1983) Spectrum of pulmonary sequestration: Association with anomalous pulmonary venous drainage in infants, Pediatr Cardiol 4:97–103

    Article  PubMed  CAS  Google Scholar 

  16. Clements BS, Warner JO (1987) Pulmonary sequestration and related congenital bronchopulmonary-vascular malformations: Nomenclature and classification based on anatomical and embryological considerations. Thorax 42:401–408

    PubMed  CAS  Google Scholar 

  17. Savic B, Birtel FJ, Tholen W, et al. (1979) Lung sequestration: Report of seven cases and review of 540 published cases. Thorax 34:96–101

    Article  PubMed  CAS  Google Scholar 

  18. Hasleton PS (1996) Embryology and development of the lung. In: Hasleton PS (ed) Spencer´s pathology of the lung, 5th edn. McGraw-Hill, New York, pp 45–55

    Google Scholar 

  19. Matzinger FR, Bhargava R, Peterson RA, et al. (1994) Systemic arterial supply to the lung without sequestration: An unusual case of hemoptysis. Can Assoc Radiol J 45:44–47

    PubMed  CAS  Google Scholar 

  20. Yamamoto K, Ueno T, Ikeda T, et al. (2000) A case of anomalous systemic arterial supply to the left basal lung with lateral chest pain and palpitation followed by left basal segmentectomy. Kyobu Geca 53:972–975

    CAS  Google Scholar 

  21. Hirai T, Ohtake Y, Mutoh S, et al. (1996) Anomalous systemic arterial supply to normal basal segments of the left lower lobe: A report of two cases. Chest 109:286–289

    Article  PubMed  CAS  Google Scholar 

  22. Yamanaka Y, Hirai T, Fujimoto T, et al. (1999) Anomalous systemic arterial supply to normal basal segments of the lower left lobe. Ann Thorac Surg 68:332–338

    Article  PubMed  CAS  Google Scholar 

  23. Koanantakool T, Subhannachrt P (2000) Surgical correction of congenital vascular anomaly of left lung, anomalous systemic arterial supply to normal basal segments of the left lower lobe (PALLADA): A report of eight cases. J Med Assoc Thai 83:940–947

    PubMed  CAS  Google Scholar 

  24. Sugio K, Kaneko S, Yokoyama H, et al. (1992) Pulmonary sequestration in older child and in adults. Int Surg 77:102

    PubMed  CAS  Google Scholar 

  25. Ko SF, Ng Sh Lee TY, Wan YL, et al. (2000) Anomalous systemic arterialization to normal basal segments of the left lower lobe: Helicoidal CT and CTA findings. J Comput Assist Tomogr 24:971–976

    Article  PubMed  CAS  Google Scholar 

  26. Kim TS, Lee KS, Im JG, et al. (2002) Systemic arterial supply to the normal basal segments of the left lower lobe: Radiographic and CT findings in 11 patients. J Thorac Imaging 17:34–39

    Article  PubMed  Google Scholar 

  27. Ashizawa K, Ishida Y, Matsunaga N, et al. (2001) Anomalous systemic arterial supply to normal basal segments of left lower lobe: Characteristic imaging findings. J Comput Assist Tomogr 25:764–769

    Article  PubMed  CAS  Google Scholar 

  28. Guelbenzu Zazpe J, Vila Mayo E, Agreda Sadaba J, et al. (2001) Anomalous systemic arterial supply to the lower lobe of the right lung: A rare finding. Arch Bronconeumol 37:358–360

    PubMed  CAS  Google Scholar 

  29. Pernot C, Simon P, Hoeffel JC, et al. (1991). Systemic artery-pulmonary vein fistula without sequestration. Pediatr Radiol 21:158

    Article  PubMed  CAS  Google Scholar 

  30. Ernst SMPG, Bruschke AVG (1971) An aberrant systemic artery to the right lung with normal pulmonary tissue. Chest 60:606–608

    Article  PubMed  CAS  Google Scholar 

  31. Rabkin JE, Astafjev VI, Gothman LN, et al. (1987) Transcatheter embolization in the management of pulmonary hemorrhage. Radiology 163:361

    PubMed  CAS  Google Scholar 

  32. Hayakawa K, Soga T, Hamamoto K, et al. (1991) Massive hemoptysis from a pulmonary sequestration controlled by embolization of aberrant pulmonary arteries: Case report. Cardiovasc Intervent Radiol 14:345

    Article  PubMed  CAS  Google Scholar 

  33. Gasparini D (1988) Sequestro polmonare atipico con grave emottisi: Ruolo dell´embolizazzione terapeutica. Radiol Med 76:631

    CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Financial assistance was provided by Medtronic.

Author information

Authors and Affiliations

  1. Department of Radiology, Carlos Haya Hospital, 29010, Malaga, Spain

    J.J. Muñoz, J.A. García, M. Bentabol, M.I. Padín & F. Serrano

Authors
  1. J.J. Muñoz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J.A. García
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Bentabol
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M.I. Padín
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Serrano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J.J. Muñoz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Muñoz, J., García, J., Bentabol, M. et al. Endovascular Treatment of Hemoptysis by Abnormal Systemic Pulmonary Artery Supply. Cardiovasc Intervent Radiol 31, 427–430 (2008). https://doi.org/10.1007/s00270-006-0129-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-006-0129-1

Keywords

Search

Navigation