Simultaneous resection of bilateral anomalous systemic supply to the basal segments of the lungs: a case report

Journal of Cardiothoracic Surgery

Akira Iyoda³  Sakae Homma²  Kazutoshi Shibuya¹  Naobumi Tochigi¹  Kazutoshi Isobe²  Yoichiro Okubo¹  Satoshi Koezuka³  Hajime Otsuka³  Yoshinobu Hata³  Takashi Makino³ 

[1] Department of Surgical Pathology, Toho University School of Medicine, Tokyo, Japan;Division of Respiratory Medicine, Toho University School of Medicine, Tokyo, Japan;Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan

关键词: Pulmonary sequestration;    Anomalous systemic supply to the basal segments of the lungs;    Bilateral;    Surgery;   

Others  :  1232309
DOI  :  10.1186/s13019-015-0366-y

 received in 2015-05-24, accepted in 2015-10-28,  发布年份 2015

【 摘 要 】

Background

Anomalous systemic arterial supply to the normal basal lung segments is a sequestration spectrum variant (Pryce type 1) that is distinguished from pulmonary sequestration by normal bronchopulmonary and parenchymal tissues.

Case presentation

A 33-year-old Japanese man was referred to our hospital because of an abnormal pulmonary shadow. Computed tomography showed two aberrant arteries arising from the descending aorta and running into the lower lung lobes on each side, without any bronchial anomaly. He was diagnosed with bilateral anomalous systemic supply to the basal segments. A left thoracotomy was performed and the aberrant arteries were ligated and dissected at their origin followed by left basal segmentectomy. Simultaneous right S10 segmentectomy was performed under video-assisted thoracic surgery.

Conclusion

Although bilateral anomalous systemic arterial supply to the basal segments is extremely rare, knowledge of this anomaly should allow for a definitive diagnosis and appropriate therapy.

【 授权许可】

   
2015 Makino et al.

【 图 表 】

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