title: Large anomalous systemic arterial supply to basal segments of the left lung.
abstract: A 29-year-old man with a large anomalous systemic arterial supply to basal segments of the lower lobe was reported here. Pulmonary arteriography showed the absence of blood flow to basal segments. Aortography verified the anomalous artery from the descending thoracic aorta. Lobectomy was performed because the anastomosis between the anomalous and pulmonary arteries was anatomically difficult and segment 6 was small. The resected specimen showed that the anomalous artery had findings of pulmonary hypertension equivalent to grade V in the classification of Heath and Edwards. If the anastomosis between the anomalous and pulmonary arteries is anatomically feasible, pathological examination of open lung biopsy specimen is necessary to determine the operative procedures in this disease and two-staged operation is desirable.
authors.affiliation: Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki 211-8533, Japan.
authors.forename: Shuji
authors.initials: S
authors.lastname: Haraguchi
authors.forename: Masafumi
authors.initials: M
authors.lastname: Hioki
authors.forename: Koji
authors.initials: K
authors.lastname: Yamashita
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Koshi
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001027:Aortography; D018376:Cardiovascular Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008297:Male; D011013:Pneumonectomy / Q000379:methods; D016896:Treatment Outcome