title: Intrapulmonary sequestration with arterial supply from the left internal thoracic artery: a case report.
abstract: Pulmonary sequestration is uncommon in the upper lobe. Its arterial supply from the internal thoracic artery is very rare. Reported here is a case of a 20-year-old male whose presenting symptom was recurrent pneumonia. Helical computed tomography (CT) and three-dimensional reconstruction images showed that aberrant arteries arising from the left internal thoracic artery were supplying the area of sequestration and draining into the pulmonary vein. Selective intra-arterial digital substraction angiogram also showed left internal thoracic artery supplying the area of the sequestration. Helical three-dimensional CT is noninvasive and provides as accurate three-dimensional information of the aberrant vascular supply in intrapulmonary sequestration as the angiography.
authors.affiliation: Department of Thoracic Surgery, Fujita Health University School of Medicine, 1-98 Kutsukake, Toyoake, Aichi 470-1192, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hattori
authors.forename: K
authors.initials: K
authors.lastname: Negi
authors.forename: I
authors.initials: I
authors.lastname: Takeda
authors.forename: T
authors.initials: T
authors.lastname: Iriyama
authors.forename: S
authors.initials: S
authors.lastname: Sugimura
authors.forename: K
authors.initials: K
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D001998:Bronchopulmonary Sequestration / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011013:Pneumonectomy; D011014:Pneumonia / Q000175:diagnosis / Q000209:etiology; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D012008:Recurrence; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed