Endovascular Treatment of an Aneurysmal Aberrant Systemic Artery Supplying a Pulmonary Sequestrum.
An aberrant systemic artery originating from the abdominal aorta supplying a pulmonary sequestration is a rare congenital malformation. This causes a left-to-left shunt. Symptoms include recurrent pneumonias, hemoptysis, and, in the long term, heart failure. Aneurysm of the aberrant vessel is rarely seen. Traditionally, treatment of pulmonary sequestrations includes ligation of the feeding vessel and lobectomy. A new promising treatment is an endovascular approach. Only a few cases describe endovascular treatment of pulmonary sequestration. This is the first published case of a giant aneurysmal branch from the abdominal aorta to the normal basal segments of the lung, successfully occluded with an Amplatzer Vascular Plug II (AVP II, St.Jude Medical, MN, USA) alone.
Department of Thoracic and Vascular Surgery, Odense University Hospital, Penthouse, Sdr Boulevard 29, 5000, Odense, Denmark. klk@dadlnet.dk.
Katrine Lawaetz
KL
Kristensen
Department of Radiology, Sygehus Lillebaelt Vejle, Kabbeltoft 25, 7100, Vejle, Denmark. louise.brodersen@gmail.com.
Louise Aarup
LA
Duus
Department of Radiology, Odense University Hospital, Sdr Boulevard 29, 5000, Odense, Denmark. Bo.Elle@rsyd.dk.
Bo
B
Elle
D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001012:Aorta, Abdominal / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D001998:Bronchopulmonary Sequestration / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed
Aberrant artery aneurysm; Amplatzer Vascular Plug II; Endovascular; Pulmonary sequestration