Treatment of Systemic Arterial Supply to Lower Lobe of Left Lung (Operation vs. Embolotherapy): Comparison of Two Cases and Literature Review.
- Author:
Eung Soo KIM
1
;
Eui Yong JEON
;
Gwang Woo RHEE
;
Dong Erk GOO
Author Information
1. Department of Thoracic &Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation, Korea. 94560055@hanilmed.co.kr
- Publication Type:Case Report
- Keywords:
Lung, anomaly;
Pulmonary arteries;
Embolization
- MeSH:
Adult;
Aged;
Aorta;
Arteries;
Embolization, Therapeutic;
Follow-Up Studies;
Humans;
Lung*;
Mastectomy, Segmental;
Pulmonary Artery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(3):230-235
- CountryRepublic of Korea
- Language:English
-
Abstract:
Systemic arterialization of lung with/without sequestration (Sequestration/Anomalous Origin of Left Pulmonary Artery, AOLPA) is a rare form of congenital anomalous systemic arterial supply to the lungs. In this anomaly, the arterial supply of one or more arteries of the basal segments of the lower lobe derives from an aberrant vessel arising from the aorta. We report two adult cases of systemic arterialization of normal basal segments of left lower lobe lung with/without sequestration. The one (AOLPA) was treated by left lower basal segmentectomy and the other (Sequestration) by therapeutic angiographic embolization. Based on the favorable follow-up result in our patients, although lobectomy (segmentectomy) is the basic treatment modality, embolotherapy could also be a mode of treatment that could be selectively applied to elderly, infirm patients or high risk patients with poor pulmonary function.
