PMC4811849_01
Two nutrient arteries arising from descending thoracic aorta and transversing laterally toward consolidated lung parenchyma are shown on coronal maximum intensity projection (MIP) reconstruction (a) and on 3D volume rendered image (b); findings are consistent with intralobular pulmonary sequestration. Selective angiography confirmed the diagnosis, showing in detail the lower (c) and upper (d) aberrant artery.
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Two nutrient arteries were seen arising from the left side of the descending thoracic aorta, following a transverse course toward the abnormal lung parenchyma, with venous drainage via the inferior pulmonary vein (Fig. 1a). Terumo Europe N.V., Belgium) (Fig. 1c and d). The 0.035 stiff straight 260 cm long guidewire was left in the nutrient arteries and the short 5 F introducer sheath was replaced with a long (55 cm) 7 F introducer sheath (Cordis Corp., Miami, FL, USA).
Postembolization control confirms total occlusion of upper aberrant artery (a) with Amplatzer Vascular Plug (arrow) and coil (arrowhead). Lower artery (b) was successfully embolized with coils (arrows). Control chest radiography 10 days after procedure is normal (c); embolization material is seen in medial aspect of left basal lung (arrow).
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The control angiogram confirmed successful occlusion of the aberrant arteries (Fig. 2).
Control chest radiography 3 months after surgery is normal.
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Control chest radiograph 3 months after surgery showed no consolidation (Fig. 3) and at follow-up after 14 months, the patient was completely free of symptoms, reporting a clear improvement of her quality of life.