Tabata T, Tanita T, Ono S, Usuda K, Okaniwa G, Fujimura S
Department of Thoracic Surgery, Tohoku University, Sendai, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Feb;45(2):198-202.
We report on a rare case of systemic origin of an aberrant artery to the basal segment of the lung (Pryce I type intralobar pulmonary sequestration) that caused occasional bloody sputum. The patient was admitted to our hospital after an abnormal image was discovered in Chest X-ray film. The chest MRI showed an abnormal vessel originating from the descending aorta. The aortagram showed an abnormal artery originating from the descending aorta and entering the left lower lobe, and the left pulmonary angiogram revealed a poorly blood supply to the left basal segments. The preoperative diagnosis of systemic origin of an aberrant artery to the basal segment of the lung was given. The patient was subjected to surgical treatment. During surgery, it was found that the abnormal artery, 12 mm in diameter, which was connected from the descending aorta to the left basal segments. The abnormal artery was dissected, and the left basal segments was removed. The postoperative course was uneventful.
我们报告一例罕见的起源于体循环的异常动脉供应肺基底段(普赖斯I型叶内型肺隔离症),该异常动脉导致患者偶尔咯血。患者因胸部X线片发现异常影像而入院。胸部MRI显示一条异常血管起源于降主动脉。主动脉造影显示一条异常动脉起源于降主动脉并进入左下叶,左肺血管造影显示左基底段血供不良。术前诊断为起源于体循环的异常动脉供应肺基底段。患者接受了手术治疗。术中发现一条直径12mm的异常动脉,从降主动脉连接至左基底段。将异常动脉分离,并切除左基底段。术后过程顺利。