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.
An anomalous systemic artery originating from the descending thoracic aorta supplying the normal basal segments of the lower lobe of the left lung without sequestration is a rare congenital anomaly. The published surgical treatments include lobectomy, segmentectomy, anastomosis, and ligation. In addition, endovascular treatment with coils has been reported. A second-generation occluder, the Amplatzer Vascular Plug II (AVP II), has a central plug and two occlusion disks and a finer, more densely woven nitinol wire, thus enabling faster embolization. This published case is the first successful occlusion of an aneurysm of an anomalous systemic artery with the AVP II and fibered coils, with 10 months of follow-up.
Canyigit
Murat
M
Department of Radiology, Ankara Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, Turkey. mcanyigit@yahoo.com
Gumus
Mehmet
M
Kilic
Evrim
E
Erol
Bekir
B
Cetin
Huseyin
H
Hasanoglu
Hatice Canan
HC
Arslan
Halil
H
D000497:Alloys; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002637:Chest Pain / Q000209:etiology; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000628:therapy*; D055989:Septal Occluder Device; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome
D000497:Alloys; C013616:nitinol