Anomalous systemic arterial supply to the left basal lung with a calcified abnormal vessel: a case report.
Anomalous
Basal segment
Calcification
Congenital
Left lower lobe
Lung
Thoracotomy
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
22 Jun 2022
22 Jun 2022
Historique:
received:
29
04
2022
accepted:
09
06
2022
entrez:
21
6
2022
pubmed:
22
6
2022
medline:
22
6
2022
Statut:
epublish
Résumé
Anomalous systemic arterial supply to the normal basal segment of the left lower lobe is a congenital abnormality of the lung, frequently and is generally diagnosed at a young age. Surgery is generally recommended if symptoms such as blood sputum or fever are observed. Resection of the abnormal artery is often performed at an early age, with only few reports of surgery being performed at an older age. In addition, to the best of our knowledge, there are no reports on surgical treatment of abnormal calcified vessels to date. Herein, we have presented a case in which a calcified aberrant vessel of lung was resolved surgically. A 65-year-old female, previously diagnosed with anomalous systemic arterial supply to the left normal basal segment of the left lung lower lobe of lung was under observation on the basis of being asymptomatic. The patient presented to the emergency room with the chief complaint of blood in the sputum and she was referred to our hospital for a surgery. Computed tomography showed circumferential calcification of the intima of the abnormal vessel, which might have contributed to incomplete resection of the artery if automatic sutures were used. Thus, the abnormal vessel was ligated and dissected using pledgeted 4-0 polypropylene sutures and vessel clips under open thoracotomy followed by left lower lobectomy. The patient was discharged seven days after surgery without any serious surgical complications. Vascular congenital anomalies of the lung are often operated at a young age presenting due to the associated symptoms. However, even if the disease is discovered incidentally and does not cause any symptoms or calcification in the aberrant artery, early surgical intervention is important due to the possibility of calcification occuring in the future. This can help minimize the degree of surgical invasion.
Sections du résumé
BACKGROUND
BACKGROUND
Anomalous systemic arterial supply to the normal basal segment of the left lower lobe is a congenital abnormality of the lung, frequently and is generally diagnosed at a young age. Surgery is generally recommended if symptoms such as blood sputum or fever are observed. Resection of the abnormal artery is often performed at an early age, with only few reports of surgery being performed at an older age. In addition, to the best of our knowledge, there are no reports on surgical treatment of abnormal calcified vessels to date. Herein, we have presented a case in which a calcified aberrant vessel of lung was resolved surgically.
CASE PRESENTATION
METHODS
A 65-year-old female, previously diagnosed with anomalous systemic arterial supply to the left normal basal segment of the left lung lower lobe of lung was under observation on the basis of being asymptomatic. The patient presented to the emergency room with the chief complaint of blood in the sputum and she was referred to our hospital for a surgery. Computed tomography showed circumferential calcification of the intima of the abnormal vessel, which might have contributed to incomplete resection of the artery if automatic sutures were used. Thus, the abnormal vessel was ligated and dissected using pledgeted 4-0 polypropylene sutures and vessel clips under open thoracotomy followed by left lower lobectomy. The patient was discharged seven days after surgery without any serious surgical complications.
CONCLUSIONS
CONCLUSIONS
Vascular congenital anomalies of the lung are often operated at a young age presenting due to the associated symptoms. However, even if the disease is discovered incidentally and does not cause any symptoms or calcification in the aberrant artery, early surgical intervention is important due to the possibility of calcification occuring in the future. This can help minimize the degree of surgical invasion.
Identifiants
pubmed: 35729289
doi: 10.1186/s40792-022-01469-8
pii: 10.1186/s40792-022-01469-8
pmc: PMC9213598
doi:
Types de publication
Journal Article
Langues
eng
Pagination
121Informations de copyright
© 2022. The Author(s).
Références
Ann Thorac Surg. 2013 Sep;96(3):990-4
pubmed: 23791162
Korean J Thorac Cardiovasc Surg. 2012 Oct;45(5):326-9
pubmed: 23130308
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S126-30
pubmed: 20204360
Surg Case Rep. 2020 Nov 12;6(1):285
pubmed: 33179205
Gen Thorac Cardiovasc Surg. 2010 Dec;58(12):640-3
pubmed: 21170635
N Engl J Med. 1968 Oct 17;279(16):866-7
pubmed: 5677721
Chest. 1981 Nov;80(5):636-7
pubmed: 7297160
Am J Ophthalmol. 2008 Jan;145(1):91-6
pubmed: 17996209
J Cardiothorac Surg. 2015 Oct 31;10:140
pubmed: 26521125
Clin Imaging. 2008 Nov-Dec;32(6):477-9
pubmed: 19006778
Gen Thorac Cardiovasc Surg. 2012 Feb;60(2):118-21
pubmed: 22327858
Ann Thorac Surg. 1999 Aug;68(2):332-8
pubmed: 10475391
Heart Lung Circ. 2011 Jun;20(6):357-61
pubmed: 21459669
J Pathol Bacteriol. 1946 Jul;58(3):457-67
pubmed: 20283082
Fukushima J Med Sci. 2013;59(2):93-6
pubmed: 24500385
Heart Lung Circ. 2008 Dec;17(6):505-7
pubmed: 18088555