A Case of Pulmonary Sequestration Treated with Arterial Embolization

Pulmonary sequestration is a very rare congenital malformation in which a mass of pulmonary tissue is detached from the normal lung and receives its blood supply from a systemic artery. It may be clinically asymptomatic or it has a wide spectrum of various clinical manifestations. The clinical therapeutic approach is to resect the sequestered lobe to prevent frequent complication such as infection. The arterial embolization of feeding artery is a new technique and a less invasive treatment than conventional surgical removal. We have experienced a 17-year-old male with pulmonary sequestration whose complaints were pain in left lower chest. He was diagnosed by computed tomography and aortography and successfully treated with embolization of feeding artery. We report a case of pulmonary sequestration treated with arterial embolization instead of surgery.

[1]  Y. Révillon,et al.  Role of embolisation in the treatment of bronchopulmonary sequestration , 2000, Pediatric Radiology.

[2]  H. Pomerance,et al.  Nelson Textbook of Pediatrics. , 1997, Archives of pediatrics & adolescent medicine.

[3]  A. Rothman,et al.  Percutaneous coil embolization of superfluous vascular connections in patients with congenital heart disease. , 1993, American heart journal.

[4]  J. F. Keane,et al.  Coil embolization to occlude aortopulmonary collateral vessels and shunts in patients with congenital heart disease. , 1989, Journal of the American College of Cardiology.

[5]  J. Mack,et al.  Bilateral pulmonary sequestrations. , 1980, The Journal of thoracic and cardiovascular surgery.

[6]  H. Funke,et al.  Lung sequestration: report of seven cases and review of 540 published cases , 1979, Thorax.

[7]  G. D. Williams,et al.  Pulmonary sequestration presenting as congestive heart failure. , 1978, The Journal of thoracic and cardiovascular surgery.

[8]  J. Kilman,et al.  Pulmonary sequestration. , 1975, The Journal of thoracic and cardiovascular surgery.

[9]  Hal B. Jenson,et al.  Nelson Textbook of Pediatrics , 1965 .