Large anomalous systemic arterial supply to basal segments of the left lung

A 29-year-old man with a large anomalous systemic arterial supply to basal segments of the lower lobe was reported here. Pulmonary arteriography showed the absence of blood flow to basal segments. Aortography verified the anomalous artery from the descending thoracic aorta. Lobectomy was performed b...

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Veröffentlicht in:General thoracic and cardiovascular surgery 2004-08, Vol.52 (8), p.395-397
Hauptverfasser: Haraguchi, Shuji, Hioki, Masafumi, Yamashita, Koji, Yamashita, Yasuo, Matsumoto, Koshi, Shimizu, Kazuo
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container_issue 8
container_start_page 395
container_title General thoracic and cardiovascular surgery
container_volume 52
creator Haraguchi, Shuji
Hioki, Masafumi
Yamashita, Koji
Yamashita, Yasuo
Matsumoto, Koshi
Shimizu, Kazuo
description A 29-year-old man with a large anomalous systemic arterial supply to basal segments of the lower lobe was reported here. Pulmonary arteriography showed the absence of blood flow to basal segments. Aortography verified the anomalous artery from the descending thoracic aorta. Lobectomy was performed because the anastomosis between the anomalous and pulmonary arteries was anatomically difficult and segment 6 was small. The resected specimen showed that the anomalous artery had findings of pulmonary hypertension equivalent to grade V in the classification of Heath and Edwards. If the anastomosis between the anomalous and pulmonary arteries is anatomically feasible, pathological examination of open lung biopsy specimen is necessary to determine the operative procedures in this disease and two-staged operation is desirable.
doi_str_mv 10.1007/s11748-004-0019-x
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subjects Adult
Aorta, Thoracic - abnormalities
Aorta, Thoracic - diagnostic imaging
Aortography
Cardiovascular Abnormalities - diagnostic imaging
Cardiovascular Abnormalities - surgery
Humans
Lung - blood supply
Male
Pneumonectomy - methods
Treatment Outcome
title Large anomalous systemic arterial supply to basal segments of the left lung
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