Intralobular pulmonary sequestration in the middle lobe supplied by a right internal mammary artery: a case report

BMC Pulm Med. 2022 Jul 26;22(1):286. doi: 10.1186/s12890-022-02083-y.

Abstract

Background: Pulmonary sequestration (PS) is a rare congenital malformation that is more common in the left lower lobe, and the thoracic aorta is the most common arterial supply.

Case presentation: We describe a case of a 67-year-old man with a chief complaint of intermittent cough and hemoptysis who had been diagnosed by multidetector computed tomography angiography with right middle lobe intralobular pulmonary sequestration supplied by a right internal mammary artery. Finally, he underwent middle pulmonary lobectomy with normal postoperative recovery.

Discussion: This is a rare intralobular pulmonary sequestration case for a feeding artery from the right internal mammary. Multidetector computed tomography angiography should be performed for diagnosis and preoperative evaluation once pulmonary sequestration is suspected.

Keywords: Multidetector computed tomography angiography; Pulmonary sequestration; Right internal mammary artery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography / adverse effects
  • Bronchopulmonary Sequestration* / diagnostic imaging
  • Bronchopulmonary Sequestration* / surgery
  • Hemoptysis / etiology
  • Humans
  • Lung / blood supply
  • Lung / diagnostic imaging
  • Male
  • Mammary Arteries* / diagnostic imaging
  • Pulmonary Artery / abnormalities