Intralobar Pulmonary Sequestration With Two Aberrant Arteries Presumably Originating From an Aberrant Pulmonary Artery and an Aberrant Bronchial Artery of One Accessory Lung Bud: A Case Report and Review of the Literature

  • Umeyama Tomoshige
    Department of Pediatric Surgery, Keio University School of Medicine
  • Takahashi Nobuhiro
    Department of Pediatric Surgery, Keio University School of Medicine
  • Kudo Yumi
    Department of Pediatric Surgery, Keio University School of Medicine
  • Kanamori Hiroki
    Department of Pediatric Surgery, Keio University School of Medicine
  • Kato Mototoshi
    Department of Pediatric Surgery, Keio University School of Medicine
  • Yamada Yohei
    Department of Pediatric Surgery, Keio University School of Medicine
  • Kobayashi Hisato
    Department of Pediatrics, Keio University School of Medicine
  • Ueno Akihisa
    Department of Diagnostic Pathology, Keio University School of Medicine
  • Emoto Katsura
    Department of Diagnostic Pathology, Keio University School of Medicine
  • Kuroda Tatsuo
    Department of Pediatric Surgery, Keio University School of Medicine

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Other Title
  • 副肺芽に由来する異常肺動脈と異常気管支動脈から発生したと推察される2本の異常動脈を有した肺葉内肺分画症の1例
  • フクハイ ガ ニ ユライ スル イジョウ ハイ ドウミャク ト イジョウ キカンシ ドウミャク カラ ハッセイ シタ ト スイサツ サレル 2ホン ノ イジョウ ドウミャク オ ユウシタ ハイヨウ ナイ ハイ ブンカクショウ ノ 1レイ

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Abstract

<p>We experienced treating a case of intralobar pulmonary sequestration with two aberrant arteries, both of which branched from the descending thoracic aorta into the sequestered lobe. Histopathologically, each artery ran through its territory and each drained into the inferior pulmonary vein and hemiazygos vein. We assumed that the two arteries have different embryological origins. We reviewed Japanese case reports of pulmonary sequestration with multiple aberrant arteries and venous drainages, and we then discussed the pathogenesis of this case in terms of embryological theories about accessory lung buds and the development of pulmonary arteries and bronchial arteries in this article. The two aberrant arteries presumably originate from a pulmonary artery and a bronchial artery of an accessory lung bud.</p>

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