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Regression of left ventricular dilation after percutaneous closure of a large intralobar pulmonary sequestration
Alejandro Alvarez1, Francesco Borgia, Paolo Guccione
1Department of Cardiology and Cardiac Surgery, Ospedale Pediatrico Bambino Gesù, Scientific Institute, Rome, Italy.
Insights
An 8-month-old infant
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Congenital lung malformations can present with complex cardiovascular anomalies.
- Intralobar pulmonary sequestration can lead to significant hemodynamic compromise in infants.
Observation:
- An 8-month-old infant presented with left ventricular dilation.
- The dilation was caused by an extensive intralobar sequestration of the right lung.
- Associated anomalies included a patent arterial duct and a right aortic arch.
Findings:
- Percutaneous closure of the aberrant artery supplying the sequestrated lung was performed.
- This intervention led to prompt regression of the left ventricular enlargement.
Implications:
- This case highlights the importance of recognizing and treating pulmonary sequestration in infants with cardiac dysfunction.
- Minimally invasive percutaneous techniques can effectively manage complex congenital anomalies.
- Early intervention can prevent or reverse cardiac remodeling in affected infants.
Abstract:
We describe an infant of 8 months who presented with left ventricular dilation due to an extensive intralobar sequestration of the right lung. The pulmonary sequestration was associated with a patent arterial duct and a right aortic arch. Percutaneous closure of the anomalous aberrant artery feeding the sequestrated lung resulted in prompt regression of the left ventricular enlargement.
