Transcatheter Closure of Anomalous Systemic Arterial Supply in a Child with Pulmonary Hypertension

  • Cemşit Karakurt
  • Serkan Fazlı Çelik
  • Ahmet Sığırcı
Keywords: Anomalous systemic arterial supply, transcatheter closure, pulmonary hypertension

Abstract

Anomalous systemic arterial supply is a rare condition and it’s commonly seen in patients with Scimitar syndrome. A systemic arterial supply to a normal lung without anomaly is a rare variant of bronchopulmonary sequestration and it is characterized by normal pulmonary parenchymal tissue and bronchial connection. The lesion was classified by Pryce as type 1.Common clinical symptoms are chest pain, dyspnea, frequent lower respiratory infection, pulmonary hypertension, hemoptysis, and heart failure. The treatment may be surgical or transcatheter embolization. In this report we described a patient, a 6-year-old boy with Down syndrome and pulmonary hypertension, who had anomalous systemic artery supply to the left lower lob of the lung and its treatment with transcatheter closure by using a vascular plug II. 

References

Noble S, Miro J, Ibrahim R. Transcatheter embolization of anomalous systemic arterial supply with Amplatzer vascular plugs II in Scimitar syndrome. Catheter Cardiovasc Interv 2012;80:477-81.

Bentham JR, Wilson N. Occlusion of anomalous systemic arterial supply in Scimitar syndrome using the new Amplatz vascular plug IV. Cardiol Young 2010;20:349-50.

Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung; a report of seven cases. J Pathol Bacteriol 1946;58:457-67.

Hiramatsu M, Iwashita M, Inagaki T, Matsudaira H, Hirano J, Odaka M, et al. Anomalous systemic arterial supply to separate lingular and basal segments of the lung: an anatomic consideration. Ann Thorac Surg 2009;88:1358–60.

Ellis K. Fleischner lecture. Developmental abnormalities in the systemic blood supply to the lungs. AJR Am J Roentgenol 1991;156:669-79.

Miyake H, Hori Y, Takeoka H, Takuma M, Kawagoe T, Mori H. Systemic arterial supply to normal basal segments of the left lung: characteristic features on chest radiography and CT. AJR Am J Roentgenol 1998;171:387-92.

Brühlmann W, Weishaupt D, Goebel N, Imhof E. Therapeutic embolization of a systemic arterialization of lung without sequestration . Eur Radiol. 1998;8: 355-8.

Saida T, Ninomiya H, Hojo F, Nakayama M , Yamauchi T, Saida Y. Systemic arterial supply to the normal basal segments of the left lower lobe treated by coil embolization, with long-term follow-up . Radiat Med. 2006 ; 24: 365–8.

Published
2014-07-24