Endovascular treatment of aberrant systemic arterial supply to normal basilar segments of the right lower lobe: case report and review of the literature

Cardiovasc Intervent Radiol. 2002 May-Jun;25(3):212-5. doi: 10.1007/s00270-001-0090-y. Epub 2002 Mar 27.

Abstract

We report the case of a 17-year-old man with acute chest pain due to a partial thrombosis of a pseudosequestration. Unlike a true sequestration, there was a normal bronchial distribution and the involved lung parenchyma was normal on CT scan. A therapeutic transarterial embolization of the aberrant systemic artery from the proximal abdominal aorta was performed successfully. The patient did not suffer from further chest pain during the follow-up of 12 months. A contrast-enhanced CT scan 4 months later demonstrated complete occlusion of the embolized aberrant artery. Our case represents an alternative treatment to surgery for this rare abnormality.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Angiography
  • Aorta, Abdominal / diagnostic imaging*
  • Aorta, Abdominal / pathology*
  • Embolization, Therapeutic*
  • Humans
  • Lung / blood supply*
  • Lung / diagnostic imaging*
  • Lung / pathology
  • Male
  • Thrombosis / diagnostic imaging*
  • Thrombosis / therapy*
  • Tomography, X-Ray Computed