A minimal invasive surgical alternative to aberrant systemic arterial supply: Coil embolization

• Published in: Interventional medicine and applied science Vol. 5; no. 1; pp. 34 - 38
• Main Authors: Gumustas, Sevtap, Akca, Ahmet, Ciftci, Ercument, Topcu, Salih, Akgul, Asli Gul
• Format: Journal Article
• Language: English
• Published: Hungary Akademiai Kiado 01.03.2013; Akadémiai Kiadó
• Subjects: Care and treatment; Case Report; Case studies; Hematology, Cancer and Oncology, Gastroenterology and Hepatology, Nephrology and Urology, Pediatrics, Surgery, Medical Research, Clinical Medicine and Cardiovascular and Respiratory Systems; Hemoptysis; Methods; Minimally invasive surgery; Therapeutic embolization; bronchopulmonary sequestration; aortopulmonary collateral; aberrant systemic artery; hemoptysis; coil embolization
• ISSN: 2061-1617; 2061-5094
• DOI: 10.1556/imas.5.2013.1.7

We present the case of a 20-year-old man with hemoptysis for 3 years. Chest radiography revealed increased pulmonary vascular opacities in the left lower lung field. Computed tomography showed an anomalous systemic artery arising from descending aorta supplying the basal segments of the left lower lobe. Bronchial tree was normal. Pulmonary artery angiogram revealed a hypoplastic inferior lobar branch of the left pulmonary artery. There was no direct communication between anomalous artery and pulmonary veins. We diagnosed our case as aortopulmonary collateral with normal lung parenchyma. Coil embolization of the anomalous systemic artery was performed. The patient survived well without evidence of hemoptysis for 18 months after coil embolization.