Endovascular treatment of aberrant systemic arterial supply to normal basilar segments of the right lower lobe: case report and review of the literature.
We report the case of a 17-year-old man with acute chest pain due to a partial thrombosis of a pseudosequestration. Unlike a true sequestration, there was a normal bronchial distribution and the involved lung parenchyma was normal on CT scan. A therapeutic transarterial embolization of the aberrant systemic artery from the proximal abdominal aorta was performed successfully. The patient did not suffer from further chest pain during the follow-up of 12 months. A contrast-enhanced CT scan 4 months later demonstrated complete occlusion of the embolized aberrant artery. Our case represents an alternative treatment to surgery for this rare abnormality.
Chabbert
Valérie
V
Department of Radiology, Centre Hospitalier Universitaire, Hôpital de Rangueil, Toulouse, France. chabbert.v@chu-toulouse.fr
Doussau-Thuron
Sandrine
S
Otal
Philippe
P
Bouchard
Louis
L
Didier
Alain
A
Joffre
Francis
F
Rousseau
Hervé
H
D000293:Adolescent; D000792:Angiography; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging* / Q000473:pathology*; D004621:Embolization, Therapeutic; D006801:Humans; D008168:Lung / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D014057:Tomography, X-Ray Computed