Endovascular treatment of a right pulmonary sequestration supplied by an aneurysmal aberrant artery originating from the abdominal aorta

Endovascular embolization of arteries feeding pulmonary sequestrations is a growing therapeutic option. A 51-year-old woman with chest pain and hemoptysis was admitted. During hospitalization she presented 150 mL hemoptysis, hypotension, and hematocrit fell to 23.3%. Contrast-enhanced computed tomog...

Full description

Saved in:
Bibliographic Details
Published in:Jornal vascular brasileiro 2022-01, Vol.21, p.e20190160
Main Authors: Marine, Leopoldo, Torrealba, Jose Ignacio, Valdes, Francisco, Mertens, Renato, Vargas, Francisco, Bergoeing, Michel, Vallejos, Daniel
Format: Article
Language:English
Subjects:
bronchopulmonary sequestration
CARDIAC & CARDIOVASCULAR SYSTEMS
embolization
endovascular procedures
PERIPHERAL VASCULAR DISEASE
SURGERY
therapeutic
Therapeutic Challenge
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Endovascular embolization of arteries feeding pulmonary sequestrations is a growing therapeutic option. A 51-year-old woman with chest pain and hemoptysis was admitted. During hospitalization she presented 150 mL hemoptysis, hypotension, and hematocrit fell to 23.3%. Contrast-enhanced computed tomography confirmed a pulmonary sequestration irrigated by an aneurysmal artery from the abdominal aorta. The patient underwent endovascular coil embolization of the artery feeding the aneurysm and an Amplatzer device was deployed in the proximal third of the sequestration artery. Subsequent contrast-enhanced computed tomography confirmed complete thrombosis of the aberrant artery feeding the aneurysm and absence of irrigation of the pulmonary sequestration. At 56 months follow-up the patient remains asymptomatic, tomography showed involution of the sequestration and complete thrombosis of the aberrant artery. The challenges presented by the different treatment alternatives are discussed.
ISSN:1677-5449
1677-7301
1677-7301
DOI:10.1590/1677-5449.201901602