[Intralobar sequestration of the lung in an adult (type 1 of pryce). Treatment by coil embolization].
A 34 year old patient presented with recurrent hemoptysis. A chest radiograph was normal. Helical CT angiogram of the chest with tridimensional reconstructions demonstrated an intralobar pulmonary vascular sequestration Pryce I-type of the right lower lobe. The angiography confirmed the diagnosis showing a large feeding artery arising from the coeliac trunk. An embolization of the feeding artery using metallic coils was performed. Transient pulmonary infarction occurred immediately after treatment. At two years follow-up, the patient remains asymptomatic. Percutaneous embolization of this rare pulmonary vascular malformation is an alternative to surgical treatment.
Izzillo
R
R
Service de Radiologie, Université Paris V, Hôpital Ambroise Paré, 9, avenue Charles de Gaulle 92104 Boulogne-Billancourt, France.
El Hajjam
M
M
Qanadli
S
S
Guichaux
F
F
Mignon
F
F
Caubarrere
I
I
Chagnon
S
S
Lacombe
P
P
D000328:Adult; D000792:Angiography; D001998:Bronchopulmonary Sequestration / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation*; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000175:diagnosis; D006801:Humans; D021621:Imaging, Three-Dimensional; D007238:Infarction / Q000209:etiology; D008168:Lung / Q000098:blood supply; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed