Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-18T19:48:31.535Z Has data issue: false hasContentIssue false
  • English
  • Français

Isolated partial anomalous origin of a branch pulmonary artery from the descending aorta

Part of: Advanced Imaging

Published online by Cambridge University Press:  13 August 2021

Wei-Li Liu Open the ORCID record for Wei-Li Liu [Opens in a new window] ,
Ming-Chih Lin Open the ORCID record for Ming-Chih Lin [Opens in a new window]  and
Sheng-Ling Jan Open the ORCID record for Sheng-Ling Jan [Opens in a new window]
Wei-Li Liu
Affiliation:
Department of Paediatrics, Dalin Tzu Chi Hospital, Chiayi County, Taiwan
Ming-Chih Lin
Affiliation:
Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan
Sheng-Ling Jan*
Affiliation:
Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan Department of Paediatrics, School of Medicine, National Yang-Ming University, Taipei, Taiwan Kaohsiung Medical University, Kaohsiung, Taiwan
*
Author for correspondence: S.-L. Jan, MD, PhD, Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, 1650 Boulevard Sect. 4, Taichung40705, Taiwan. Tel: + 886-4-23741259; Fax: + 886-4-23741359. E-mail: sljan@vghtc.gov.tw
Get access Rights & Permissions [Opens in a new window]

Abstract

The condition of partial anomalous origin of a branch pulmonary artery from the descending aorta could be found in several diseases and should be carefully differentiated. We report an unusual case of anomalous systemic arterial supply to normal basal segments of the left lower lung and another case of intralobar pulmonary sequestration. These two cases were treated successfully by transarterial embolisation using the Amplatzer Vascular Plug. We also set up a diagnostic algorithm to differentiate these diseases from anomalous systemic arterial supply to the pulmonary region. It is possible to make the correct diagnosis using the step-by-step diagnostic algorithm and careful interpretation of chest computed tomography angiography.

Keywords

Arterial embolisationdiagnostic algorithmpaediatric interventionpulmonary sequestration
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 648 - 651
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bhalla, AS, Gupta, P, Mukund, A, Kumar, A, Gupta, M. Anomalous systemic artery to a normal lung: a rare cause of hemoptysis in adults. Oman Med J 2012; 27: 319–322. DOI: 10.5001/omj.2012.79.CrossRefGoogle ScholarPubMed
Singhi, AK, Nicholson, I, Francis, E, Kumar, RK, Hawker, R. Anomalous systemic arterial supply to normal basal segment of the left lung. Heart Lung Circ 2011; 20: 357–361. DOI: 10.1016/j.hlc.2011.02.006.CrossRefGoogle ScholarPubMed
Sugihara, F, Murata, S, Uchiyama, F, et al. Transcatheter arterial embolization of anomalous systemic arterial supply to the basal segment of the lung. Acta Radiol Short Rep 2013; 2: 1–4. DOI: 10.1177/2047981613511363.Google ScholarPubMed
Gümüştaş, S, Akça, A, Ciftçi, E, Topçu, S, Akgül, AG. A minimal invasive surgical alternative to aberrant systemic arterial supply: coil embolization. Interv Med Appl Sci 2013; 5: 34–38. DOI: 10.1556/imas.5.2013.1.7.Google ScholarPubMed
Kim, JH, Kim, SS, Ha, KS, Bae, J, Park, Y. Anomalous arterial supply to normalBasal segment of the right lower lobe: endovascular treatment with the amplatzer vascular plug. Tuberc Respir Dis (Seoul) 2014; 76: 295–298.CrossRefGoogle ScholarPubMed
Wu, T, Yu, Y, Zhang, Y, Deng, Z. Congenital descending aorta-pulmonary vein fistula. Am J Med Sci 2018; 355: 97–98.CrossRefGoogle ScholarPubMed
Higuchi, M, Chida, M, Muto, A, Fukuhara, M, Suzuki, H, Gotoh, M. Anomalous systemic arterial supply to the basal segments of the lung. Fukushima J Med Sci 2013; 59: 93–96.CrossRefGoogle Scholar
Kunwar, BK, Paddalwar, S, Ghogare, M. Large isolated major aortopulmonary collateral artery causing severe pulmonary hypertension in an infant: a rare and challenging diagnosis. J Clin Diagn Res 2017; 11: 18–20.Google Scholar