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Thoracic Stent Graft Accompanied by Coil Embolization for Pulmonary Sequestration
Fatima G Wilder1, Sarah Z Minasyan2
11 UCSF Fresno Department of Surgery, Fresno, CA, USA.
Innovations (Philadelphia, Pa.)
|May 2, 2019
Summary
Thoracic stent graft plus coil embolization offers a minimally invasive approach for pulmonary sequestration management. This technique effectively treated a patient
Area of Science:
- Interventional Radiology
- Thoracic Surgery
- Vascular Medicine
Background:
- Pulmonary sequestration, particularly Pryce Type I, presents diagnostic and therapeutic challenges.
- Chronic hemoptysis and refractory pain are common debilitating symptoms.
- Traditional surgical ligation has been the standard but involves significant patient burden.
Observation:
- A 43-year-old male with recurrent hemoptysis and back pain was diagnosed with a Pryce Type I pulmonary sequestration.
- An anomalous artery from the descending thoracic aorta to the left lower lobe was identified.
- The patient underwent coil embolization and thoracic endovascular aortic repair.
Findings:
- The procedure involved fluoroscopic guidance for coil embolization of the aberrant artery.
- A thoracic stent graft achieved good coverage of the aberrant artery.
- Postoperative recovery was uneventful with reported decrease in chest pain.
- CT angiography confirmed optimal placement of coils and stent graft.
Implications:
- Thoracic stent graft combined with coil embolization is a viable, minimally invasive alternative for pulmonary sequestration.
- This technique offers reduced patient burden and faster recovery than thoracotomy.
- Consideration as a first-line treatment is warranted for selected patients.
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