A case of anomalous systemic arterial supply to the lung treated by aberrant artery stapling without lung resection

DOI 16 References
  • Maekawa Shinichi
    Department of General Thoracic Surgery, National Fukuoka-Higashi Medical Center
  • Higuchi Takao
    Department of General Thoracic Surgery, National Fukuoka-Higashi Medical Center
  • Hamada Toshinori
    Department of General Thoracic Surgery, National Fukuoka-Higashi Medical Center
  • Iwasaki Akinori
    Department of Thoracic Surgery, Faculty of Medicine, Fukuoka University
  • Okabayashi Kan
    Department of General Thoracic Surgery, National Fukuoka-Higashi Medical Center

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  • 肺切除を伴わず異常動脈遮断のみ施行した左肺底動脈大動脈起始症の1例

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A 54-year-old woman was referred to our hospital for an abnormal shadow on a chest radiograph. Computed tomography showed an aberrant artery arising from the descending aorta to the basal segment of the left lung. Dilatation of the pulmonary vessels was minimal on chest CT, and both the pulmonary artery and bronchus to the left basal segment were normal on 3D-CT. These findings led us to the diagnosis of an anomalous systemic arterial supply to the left pulmonary basal segment.<br>Preservation of the lung parenchyma seemed to be possible because the change in the pulmonary parenchyma was minimal. Therefore, we performed thoracoscopic aberrant artery stapling using a no-knife stapler without lung resection.<br>The postoperative course was uneventful. We reported a very rare case of anomalous systemic arterial supply to the left basal segment, treated only with aberrant artery stapling.

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