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Isolated partial anomalous origin of a branch pulmonary artery from the descending aorta

Part of: Advanced Imaging

Published online by Cambridge University Press:  13 August 2021

Wei-Li Liu Open the ORCID record for Wei-Li Liu [Opens in a new window] ,
Ming-Chih Lin Open the ORCID record for Ming-Chih Lin [Opens in a new window]  and
Sheng-Ling Jan Open the ORCID record for Sheng-Ling Jan [Opens in a new window]
Wei-Li Liu
Affiliation:
Department of Paediatrics, Dalin Tzu Chi Hospital, Chiayi County, Taiwan
Ming-Chih Lin
Affiliation:
Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan
Sheng-Ling Jan*
Affiliation:
Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan Department of Paediatrics, School of Medicine, National Yang-Ming University, Taipei, Taiwan Kaohsiung Medical University, Kaohsiung, Taiwan
*
Author for correspondence: S.-L. Jan, MD, PhD, Division of Paediatric Cardiology, Children’s Medical Center, Taichung Veterans General Hospital, 1650 Boulevard Sect. 4, Taichung40705, Taiwan. Tel: + 886-4-23741259; Fax: + 886-4-23741359. E-mail: [email protected]
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Abstract

The condition of partial anomalous origin of a branch pulmonary artery from the descending aorta could be found in several diseases and should be carefully differentiated. We report an unusual case of anomalous systemic arterial supply to normal basal segments of the left lower lung and another case of intralobar pulmonary sequestration. These two cases were treated successfully by transarterial embolisation using the Amplatzer Vascular Plug. We also set up a diagnostic algorithm to differentiate these diseases from anomalous systemic arterial supply to the pulmonary region. It is possible to make the correct diagnosis using the step-by-step diagnostic algorithm and careful interpretation of chest computed tomography angiography.

Keywords

Arterial embolisationdiagnostic algorithmpaediatric interventionpulmonary sequestration
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 648 - 651
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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