Anomalous Systemic Arterial Supply to the Left Basal Segments without Sequestration from Descending Thoracic Aorta - A case report -

폐분획증이 없이 하행 흉부 대동맥에서 분지된 좌측 바닥 구역의 이상 기시 체혈관 - 1예 보고 -

  • Kim, Hyuck (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University) ;
  • Chung, Won-Sang (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University) ;
  • Jang, Hyo-Jun (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University) ;
  • Kang, Jeong-Ho (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University) ;
  • Kim, Young-Hak (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University) ;
  • Kim, Ji-Hoon (Department of Thoracic and Cardiovascular Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University)
  • 김혁 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 장효준 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 김영학 (한양대학교 의과대학 서울병원 흉부외과학교실) ;
  • 김지훈 (한양대학교 의과대학 서울병원 흉부외과학교실)
  • Published : 2008.08.05

Abstract

An anomalous systemic arterial supply to the left basal segments without sequestration is a rare congenital abnormality within the spectrum of pulmonary sequestration. But this is rather different from the definition of pulmonary sequestration in that it has normal bronchial connections. We describe here our experience with surgical treatments for an anomalous systemic arterial supply to the left basal segments without sequestration, and this condition was confirmed preoperatively.

폐분획증이 없는 좌측 바닥 구역의 이상 기시 체혈관은 폐분획증의 범주 안에 속하는 매우 드문 선천성 질환이다. 하지만 폐분획증과는 달리 정상적인 기관지 연결 관계를 가지고 있다. 술전에 진단된 폐분획증이 없는 좌측 기저 분엽의 이상 기시 체혈관에 대한 수술적 치료를 치험하였기에 이를 보고 하고자 한다.

Keywords

References

  1. Pryce DM, Sellors TH, Blair LG. Intralobar sequestration of lung associated with an abnormal pulmonary artery. Br J Surg 1947;35:18-29. https://doi.org/10.1002/bjs.18003513704
  2. Sade RM, Clouse M, Ellis FH. The spectrum of pulmonary sequestration. Ann Thorac Surg 1974;18:644-58. https://doi.org/10.1016/S0003-4975(10)64417-7
  3. Ellis K. Developmental abnormalities in the systemic blood supply to the lungs. Am J Roentgenol 1991;156:669-79. https://doi.org/10.2214/ajr.156.4.2003427
  4. Akira Y, Takashi H, Toshio F, et al. Anomalous systemic arterial supply to normal basal segments of the left lower lobe. Ann Thorac Surg 1999;68:332-8. https://doi.org/10.1016/S0003-4975(99)00533-0
  5. Hong SB, Na KJ, Park JM, Ahn BH, Kim SH. Anomalous systemic arterial supply to normal basal segments of left lower lobe without sequestration. Korean J Thorac Cardiovasc Surg 2005;38:510-3.
  6. Toshihiko I, Yukiko H, Kenzo H, Takehiko F. Systemic arterial supply to the left basal segment without pulmonary artery: four consecutive cases. Eur J Cardiothorac Surg 2003;23:847-9. https://doi.org/10.1016/S1010-7940(03)00087-3
  7. Kim YH, Sun K, Back KJ, Kim HM, Kim IS. Anomalous systemic arterial supply to the lung without sequestration: a case report. Korean J Thorac Cardiovasc Surg 1985;18: 104-10.
  8. Kim ES, Jeon EY, Rhee GW, Goo DE. Treatment of systemic arterial supply to lower lobe of left lung (operation vs. embolotherapy): comparison of two case and literature review. Korean J Thorac Cardiovasc Surg 2006;39:230-5.