Endostapling the aberrant artery filled with embolized coils for intralobar pulmonary sequestration: a report of two cases

Journal of Thoracic Disease
Mitsuaki SakaiMasashige Shiigai

Abstract

Intrapulmonary sequestration is a rare congenital bronchopulmonary malformation. Surgery is generally standard treatment, and thoracoscopic resection has been accepted recently. Some patients have inflammatory change of the sequestrated lung and adhesion to the adjacent organs. In those cases, it is difficult to identify the aberrant artery. In thoracoscopic surgery cases, fatal intraoperative hemorrhage from the aberrant artery has been reported. We describe two patients with infected intralobar pulmonary sequestration who were treated by endostapling the aberrant artery filled with embolized coils. A 28-year-old man who had complained of right back pain and high fever was admitted to our hospital. The chest computed tomography (CT) scan showed infected intralobar pulmonary sequestration with consolidation and fluid collection in the right lower lobe. An aberrant artery entered the consolidation from the celiac trunk. After coil embolization, thoracoscopic right lower lobectomy was performed with endostapling of the aberrant artery, which had a diameter of 10 mm and was filled with metallic coils. A 51-year-old woman who had complained of repeated pneumonia was admitted to our hospital. The chest CT scan showed infected intral...Continue Reading

Citations

Jun 17, 2021·Cardiovascular and Interventional Radiology·Yonghua BiXinwei Han
Aug 25, 2021·Surgical Case Reports·Keita NakanishiToyofumi Fengshi Chen-Yoshikawa

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