Anomalous Systemic Arterial Supply to Normal Basal Segments of Left Lower Lobe: A Report of Two Cases.

Lee, Ki Man; Ahn, Jong Joon; Jeong, In Du; Kim, Byung Chul; Shin, Je Kyoun; Jung, Jong Pil; Hwang, Jae Cheol; Suh, Jae Hee

doi:2001.50.6.710

Tuberc Respir Dis > Volume 50(6); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;50(6):710-717.
DOI: https://doi.org/10.4046/trd.2001.50.6.710 Published online June 1, 2001.

Anomalous Systemic Arterial Supply to Normal Basal Segments of Left Lower Lobe: A Report of Two Cases.

Ki Man Lee, Jong Joon Ahn, In Du Jeong, Byung Chul Kim, Je Kyoun Shin, Jong Pil Jung, Jae Cheol Hwang, Jae Hee Suh

Abstract

Two cases of an anomalous systemic arterial supply to the basal segments of the left lower lobe without pulmonary wequestration are presented. In the first case, a preoperative diagnosis was made by chest CT, and confirmed by angiograpy, in a 22-year old man who had a recurrent hemoptysis. There was systemic arterial supply that originated from the thoracic descending aorta and no pulmonary arterial supply to the basilar segment of the left lower lobe. However, the pulmonary parenchyma was normal without sequestration. Ligation of the abnormal artery and a left lower lobectomy were performed without complication. In the second case, there were characteristic features of this anomaly on chest CT and the angiogram in a 31-year-old man with symptoms of hemoptysis. The patient refused surgery.

Key Words: Anomalous systemic arterial supply, pulmonary sequestration