Utility of helical 3D-CT in the diagnosis of the aberrant artery of pulmonary sequestration

  • Hattori Yoshinobu
    Department of Thoracic Surgery Fujita Health University School of Medicine
  • Sugimura Shuichiro
    Department of Thoracic Surgery Fujita Health University School of Medicine
  • Iriyama Tadashi
    Department of Thoracic Surgery Fujita Health University School of Medicine
  • Watanabe Kouji
    Fujita Health University College
  • Negi Kouji
    Department of Thoracic Surgery Fujita Health University School of Medicine
  • Yamashita Mitsuru
    Department of Thoracic Surgery Fujita Health University School of Medicine
  • Takeda Isao
    Department of Thoracic Surgery Fujita Health University School of Medicine

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  • 肺分画症のヘリカル3D-CTによる異常動脈の描出

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Abstract

Four patients with abnormal chest roentgenograms were evaluated and were proven intralobar pulmonary sequestration (IPS) at surgery. A 7-year-old boy and a 26-year old man had left lower IPS. Helical 3D-CT demonstrated the aberrant artery arising from the descending thoracic aorta and the draining pulmonary veins. They underwent left lower lobectomy. A 23-year-old man and a 35-year-old woman had right lower IPS. Helical 3D-CT demonstrated the aberrant artery arising from the abdominal aorta and the draining pulmonary veins. They were treated by left lower partial lobectomy. Helical 3D-CT is noninvasive, and provides accurate, three-dimensional information of the aberrant vascular supply of the pulmonary sequestration, which closely simulates the angiographic and surgical findings. Helical 3D-CT can replace angiography in the preoperative diagnosis of the pulmonary sequestration.

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