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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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The abnormal systemic artery to the left lower lobe (ASALLL): a report of two cases

Mingyan Yan1, Aisha Khan2, Guanxun Cheng1

  • 1Department of Medical Imaging, Peking University Shenzhen Hospital, Shenzhen 518036, China.

Radiology Case Reports
|September 3, 2020
PubMed

Insights

Abnormal systemic artery to left lower lobe (ASALLL) causes recurrent hemoptysis. Early diagnosis via CT scans and treatment with embolization or surgery can effectively manage this rare vascular anomaly.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Radiology
  • Interventional Radiology

Background:

  • Abnormal systemic artery to left lower lobe (ASALLL) is a rare congenital vascular anomaly.
  • It can lead to significant clinical manifestations, primarily hemoptysis.

Observation:

  • Two cases of ASALLL presenting with hemoptysis are detailed.
  • Case 1: A 15-year-old boy with a year of intermittent hemoptysis treated with interventional embolization.
  • Case 2: A 36-year-old man with chronic, worsening hemoptysis and chest pain, treated with thoracoscopic resection.

Findings:

  • Recurrent hemoptysis is the predominant clinical symptom of ASALLL.
  • Chest-enhanced CT scanning is effective in diagnosing ASALLL.
  • Both interventional embolization and surgical resection are viable treatment options.

Implications:

  • Highlights the importance of considering ASALLL in patients with unexplained hemoptysis.
  • Emphasizes prompt diagnosis and targeted treatment over symptomatic management.
  • Demonstrates the efficacy of modern imaging and interventional/surgical techniques for ASALLL.

Keywords:
ASALLLCTHemoptysis

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