PULMONARY SEQUESTRATION SUPPLIED BY THE CIRCUMFLEX ARTERY – A RARE CASE REPORT

Authors

  • Diana Pissarra Department of Cardiothoracic Surgery, S. João Hospital, Oporto, Portugal
  • Elson Salgueiro Department of Cardiothoracic Surgery, S. João Hospital, Oporto, Portugal
  • Ana Catarina Oliveira Department of Radiology, Pedro Hispano Hospital, Matosinhos, Portugal
  • Graciete Malangatana Department of Cardiology, Pedro Hispano Hospital, Matosinhos, Portugal
  • Paulo Pinho Department of Cardiothoracic Surgery, S. João Hospital, Oporto, Portugal
  • Jorge Casanova Department of Cardiothoracic Surgery, S. João Hospital, Oporto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.133

Abstract

Pulmonary sequestration (PS) is a rare congenital malformation, even more when its arterial supply is a coronary artery. We present a case of a 68-year-old man admitted in the emergency room with an acute coronary syndrome and no evidence of significant coronary disease. Instead, he had an abnormal branch from the circumflex coronary artery nourishing a mass in the left lower pulmonary lobe. A coronary steal phenomenon was proposed to explain the clinical presentation. An anterior left thoracotomy with ligation of the abnormal branch and atypical resection of the lung segment comprising the sequestration was performed.

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References

Savic B, Birtel Fj, Tholen W, Funke HD, Knoche R. Lung sequestration: report of seven cases and review of 540 published cases. Thorax 1979, 34:96-101.

Wei Y, Li F. Pulmonary sequestratrion: a retrospective analysis of 2625 cases in China. Eur J Cardiothorac Surg 2011, 40:39-42.

Fernandez-Vega A, Vilacosta I, Vedial O A e tal. A kidnapper left circumflex artery. Eur Heart Journal 2015. doi:10.1093/eurheartj/ehv658.

Gezer S, Tastepe I, Sirmah M et al. Pulmonary sequestration: a single-institutional series composed of 27 cases. J Thorac Cardiovasc Surg 2008, 133:955-959.

Temes RT, Talbot WA, Carrillo YM, Keck GM, Wernly JA. Sequestration of the lung arising from the circumflex coronary artery. Ann Thorac Surg 1998; 65: 257-259.

Rao D S, Barik R. Rare presentation of intralobar pulmonary sequestration associated with repeated episodes of ventricular tachycardia. World J Cardiol 2016, 8(7): 432-5.

Sun X, Xiao Y. Pulmonary sequestration in adult patients: a retrospective study. Eur J Cardiothorac Surg 2015, 48:279-282.

Gompelmann D, Eberhardt R, Heussel CP, Hoffmann H, Dienemann H, Schuhmann M, Böckler D, Schnabel PA, Warth A, Lopez-Benitez R, Herth FJ. Lung sequestration: a rare cause for pulmonary symptoms in adulthood. Respiration 2011; 82: 445-450.

Nakayama Y, Kido M, Minami K, Ikeda M, Kato Y. Pulmonary sequestration with Myocardial Ischemia caused by Vasospasm and Steal. Ann Thora Surg 2000; 70:304-5.

Falsini, Giovanni et al. Bilateral intralobar pulmonary sequestrations receiving separate arterial supply from the right and circumflex coronary arteries: A case report. International Journal of Cardiology , Volume 166 , Issue 1 , e12 - e13.

Liu C, Pu Q, Ma L, Mei J, Xiao Z, Liao H et al. Video-assisted thoracic surgery for pulmonary sequestration compared with posterolateral thoracotomy. J Thorac Cardiovasc Surg 2013;

:557–61.

Zhang SX, Wang HD, Yang K, Cheng W, Wu W. Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques? J Thorac Dis 2017;9(12):5153-5160. doi: 10.21037/jtd.2017.10.145

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Published

26-05-2021

How to Cite

1.
Pissarra D, Salgueiro E, Oliveira AC, Malangatana G, Pinho P, Casanova J. PULMONARY SEQUESTRATION SUPPLIED BY THE CIRCUMFLEX ARTERY – A RARE CASE REPORT. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 May 26 [cited 2023 Feb. 3];26(2):159-62. Available from: https://pjctvs.com/index.php/journal/article/view/133

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Clinical Cases

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