Endovascular Treatment of an Aneurysmal Aberrant Systemic Artery Supplying a Pulmonary Sequestrum
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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.
KeywordsPulmonary sequestration Aberrant artery aneurysm Endovascular Amplatzer Vascular Plug II
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.
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Does not apply to this article.
- 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
- 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