title: Anomalous Feeding of the Left Upper Lobe.
abstract: We report the case of a 53-year-old woman who presented with massive hemoptysis. Computed tomographic angiography revealed an anomalous vessel arising from the abdominal aorta, coursing anteriorly and through the diaphragm, and feeding the left upper lobe. At operation the vessel was found to anastomose to the left upper lobe lingula, which contained multiple vascular abnormalities and arteriovenous fistulas. The vessel was ligated, and the affected portion of the left upper lobe was resected. Anomalous systemic arterial supply of an upper lobe is an especially rare form of a Pryce type 1 abnormality. Recognition of these unusual anatomic variants is crucial to successful treatment and avoidance of adverse events.
authors.affiliation: Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Christopher
authors.initials: C
authors.lastname: Hazzard
authors.affiliation: Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Shinobu
authors.initials: S
authors.lastname: Itagaki
authors.affiliation: Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Fouad
authors.initials: F
authors.lastname: Lajam
authors.affiliation: Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: raja.flores@mountsinai.org.
authors.forename: Raja M
authors.initials: RM
authors.lastname: Flores
mesh_terms: D001012:Aorta, Abdominal / Q000002:abnormalities* / Q000000981:diagnostic imaging; D000072226:Computed Tomography Angiography / Q000379:methods*; D016638:Critical Illness; D003964:Diaphragm / Q000098:blood supply; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008026:Ligation / Q000379:methods; D008168:Lung / Q000098:blood supply* / Q000601:surgery; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D035583:Rare Diseases; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery