Sun Meng, Fang Le, Wang Fangruyue, Wang Tianwei
Department of Radiology, China-Japan Union Hospital of Jilin University, 126 Xiantai Street, Changchun, 130000, Jilin, China.
Department of Neurology, China-Japan Union Hospital of Jilin University, Changchun, 130000, China.
J Cardiothorac Surg. 2025 Jan 4;20(1):5. doi: 10.1186/s13019-024-03266-w.
Anomalous systemic artery to the left lower lobe (ASALLL) is a rare congenital anomaly. The primary symptoms include hemoptysis and lung infection, though some patients may remain asymptomatic. Currently, there is no consensus on the indications for treatment or the optimal choice of therapy for this condition. This case presents a case of an asymptomatic adult who underwent coil embolization.
A 48-year-old male was admitted to our hospital due to the discovery of a space-occupying lesion in the left hilum. The contrast-enhanced pulmonary computed tomography scan was used to diagnose the patient with an anomalous systemic artery to the left lower lobe. We performed coil embolization on this patient, who underwent a follow-up computed tomography angiography of the pulmonary and bronchial arteries one year later. Result demonstrated complete embolization of the abnormal systemic arteries and a slight reduction in the volume of the left lower lobe.
Coil embolization is a safe and minimally invasive procedure for adult patients who have an anomalous systemic artery to the left lower lobe.
左下叶异常体动脉(ASALLL)是一种罕见的先天性异常。主要症状包括咯血和肺部感染,不过部分患者可能无症状。目前,对于该病症的治疗指征或最佳治疗选择尚无共识。本病例介绍了一名接受弹簧圈栓塞术的无症状成年人。
一名48岁男性因左肺门发现占位性病变入院。采用对比增强胸部计算机断层扫描诊断该患者为左下叶异常体动脉。我们对该患者进行了弹簧圈栓塞术,一年后对其进行了肺部和支气管动脉计算机断层血管造影随访。结果显示异常体动脉完全栓塞,左下叶体积略有缩小。
对于患有左下叶异常体动脉的成年患者,弹簧圈栓塞术是一种安全且微创的手术。