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Pryce type I sequestration: no mosquito shooting.

Ramachandra Barik1, Amar Narayan Patnaik2, Amaresh Rao Malempati3

  • 1Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India cardioramachandra@gmail.com.

Asian Cardiovascular & Thoracic Annals
|March 4, 2014
PubMed
Summary

A congenital dual arterial supply to the left lower lobe caused lung injury in a 40-year-old woman. Surgical ligation of the systemic artery, not lobectomy, successfully treated this rare condition.

Keywords:
Aortabronchopulmonary sequestrationcoronary angiographylungpulmonary arterythoracic

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Congenital dual arterial supply to the lung is a rare condition.
  • This anomaly can lead to hyperperfusion lung injury.
  • Pulmonary sequestration describes abnormal lung development with non-functional lung tissue.

Observation:

  • A 40-year-old woman presented with hyperperfusion lung injury.
  • Her left lower lobe had a normal pulmonary arterial supply and an additional systemic arterial supply from the descending thoracic aorta.
  • This anomaly was classified as Pryce type I sequestration.

Findings:

  • The patient was successfully treated with surgical ligation of the systemic arterial supply.
  • Lobectomy was avoided, preserving lung function.
  • This case highlights successful management of congenital dual arterial supply without resection.

Implications:

  • Surgical ligation is a viable alternative to lobectomy for certain cases of congenital dual arterial supply.
  • This approach may be suitable for Pryce type I sequestration, preserving lung parenchyma.
  • Further research into minimally invasive techniques for managing such anomalies is warranted.