Eur J Cardiothorac Surg 2008;34:1247-1248. doi:10.1016/j.ejcts.2008.09.012
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
Pulmonary sequestration with anomalous arterial connection
Niccolò Daddia,*,
Stefano Moscab,
Rosanna Capozzia,
Rodolfo Ribacchic
a Thoracic Surgery Unit, Department of Surgical, Radiological and Odontostomatological Sciences, University of Perugia, Perugia, Italy
b Radiology Unit, Department of Surgical, Radiological and Odontostomatological Sciences, University of Perugia, Perugia, Italy
c Pathologic Anatomy and Histology Unit, S. Maria della Misericordia Hospital, Perugia, Italy
Received 2 July 2008;
received in revised form 12 August 2008;
accepted 1 September 2008.
* Corresponding author. Address: Thoracic Surgery Unit, Department of Surgical, Radiological and Odontostomatological Sciences, University of Perugia, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06156 Perugia, Italy. Tel.: +39 075 5782267; fax: +39 075 5782600. (Email: niccolo.daddi{at}unipg.it).
Key Words: Pulmonary sequestration • Systemic artery • Pulmonary artery • Anomalous connection
A 31-year-old woman presented with a three-year history of fever, chest pain and productive cough. Chest x-ray revealed opacity in the left lower lobe. Chest CT scan showed a multiloculated cystic lesion. Angiography identified an anomalous arterial connection (Fig. 1
) subsequently confirmed by the lobe excision (Fig. 2
).
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Fig. 1. Left lower intralobar sequestration supplied by an anomalous branch (AB) originating from descending thoracic aorta (ThAO) connected to the pulmonary artery (PA) of the left lower lobe.
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Fig. 2. Corrosion cast (silicone rubber injection compounds MICROFIL® CP-101, Flow Tech Inc., Carver, Massachusetts, USA) of the excised left lower lobe shows direct vascular connection between aberrant systemic artery (AB) and pulmonary artery (PA).
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