Massive Hemoptysis in a Case of Intralobar Pulmonary Sequestration Associated with Pulmonary Hypoplasia and Meandering Right Pulmonary Vein: Diagnosis and ManagementReportar como inadecuado




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Case Reports in PulmonologyVolume 2012 2012, Article ID 960948, 5 pages

Case Report

Department of Radiology, Pradyumna Bal Memorial Hospital, Kalinga Institute of Medical Sciences, KIIT Campus-5, Patia, Orissa, Bhubaneswar 751024, India

Department of Medicine, Kalinga Hospital, Orissa, Bhubaneswar 751023, India

Received 10 September 2012; Accepted 27 September 2012

Academic Editors: N. Koyama, M. Kreuter, and N. Reinmuth

Copyright © 2012 Manoranjan Mohapatra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pulmonary sequestration is a congenital malformation characterized by focal area of dysplastic lung tissue that lacks normal communication with tracheobronchial tree and receives blood supply from systemic arteries. Surgical resection has been the conventional method of treatment of pulmonary sequestration. In recent years transarterial embolization of the anomalous systemic arteries has emerged as a suitable alternative to surgery. In this paper, we describe transarterial coil embolization for control of massive life-threatening hemoptysis in a rare case of intralobar sequestration in right lung associated with ipsilateral pulmonary hypoplasia and meandering right inferior pulmonary vein. A 3-year follow-up computed tomographic CT angiography revealed complete regression of the sequestration along with altered pulmonary arterial contour. To the best of our knowledge, transarterial coil embolization for control of massive life-threatening hemoptysis in such a complex pulmonary anomaly has not yet been reported.





Autor: Manoranjan Mohapatra, Sanjeet Mishra, and Paresh Jena

Fuente: https://www.hindawi.com/



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