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[Preoperative arterial embolization of intralobar lung sequestration]
H P Dinkel1, H Hoppe, H U Striffeler
1Institut für Diagnostische Radiologie, Inselspital, Universität Bern, Freiburgstrasse, 3010 Bern/Schweiz. hans-peter.dinkel@insel.ch
Der Radiologe
|January 5, 2002
Summary
This study presents a novel approach for treating lung sequestration by using platinum coil embolization before surgical resection. This technique successfully prevented complications and allowed for safe removal of the pulmonary sequestration.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Interventional Radiology
Background:
- Recurrent pulmonary infections can be caused by congenital lung malformations such as pulmonary sequestration.
- Pulmonary sequestration, especially intralobar type, often involves an aberrant arterial supply.
- Surgical resection is the standard treatment, but aberrant vasculature can pose risks.
Observation:
- A 43-year-old patient experienced recurrent pulmonary infections due to intralobar pulmonary sequestration.
- MR-angiography identified an aberrant artery from the abdominal aorta supplying the sequestration.
- The aberrant artery was embolized using platinum coils prior to surgery.
Findings:
- Preoperative coil embolization of the aberrant artery facilitated safe surgical resection of the lung sequestration.
- This represents the first reported case of elective coil embolization preceding lung sequestration resection.
- The interventional radiology and thoracic surgery collaboration proved effective.
Implications:
- Elective coil embolization is a viable and potentially safer strategy for managing aberrant arterial supply in lung sequestration.
- This minimally invasive approach may reduce operative risks and improve patient outcomes.
- Further research could explore the broader application of this technique in similar congenital anomalies.