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Borzelli A, Paladini A, Giurazza F, et al. Successful endovascular embolization of an intralobar pulmonary sequestration. Radiol Case Rep. 2017;13(1):125-129doi: 10.1016/j.radcr.2017.10.003.
Borzelli, A., Paladini, A., Giurazza, F., Tecame, S., Giordano, F., Cavaglià, E., Amodio, F., Corvino, F., Beomonte Zobel, D., Frauenfelder, G., Tucci, A. G., & Niola, R. (2018). Successful endovascular embolization of an intralobar pulmonary sequestration. Radiology case reports, 13(1), 125-129. https://doi.org/10.1016/j.radcr.2017.10.003
Borzelli, Antonio, et al. "Successful endovascular embolization of an intralobar pulmonary sequestration." Radiology case reports vol. 13,1 (2018): 125-129. doi: https://doi.org/10.1016/j.radcr.2017.10.003
Borzelli A, Paladini A, Giurazza F, Tecame S, Giordano F, Cavaglià E, Amodio F, Corvino F, Beomonte Zobel D, Frauenfelder G, Tucci AG, Niola R. Successful endovascular embolization of an intralobar pulmonary sequestration. Radiol Case Rep. 2017 Oct 27;13(1):125-129. doi: 10.1016/j.radcr.2017.10.003. eCollection 2018 Feb. PMID: 29552250; PMCID: PMC5851309.
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Radiol Case Rep. 2017 Oct 27;13(1):125-129. doi: 10.1016/j.radcr.2017.10.003. eCollection 2018 Feb.

Successful endovascular embolization of an intralobar pulmonary sequestration.

Radiology case reports

Antonio Borzelli, Andrea Paladini, Francesco Giurazza, Salvatore Tecame, Flavio Giordano, Enrico Cavaglià, Francesco Amodio, Fabio Corvino, Daniela Beomonte Zobel, Giulia Frauenfelder, Anna Giacoma Tucci, Raffaella Niola

Affiliations

  1. Dipartimento di Scienze Biomediche Avanzate, Università degli studi di Napoli "Federico II", Italy.
  2. Roma-Fondazione Gemelli-Dipartimento di Bioimmagini e Scienze Radiologiche, Università Cattolica del Sacro Cuore, Largo F. Vito 1 00168 Roma, Italy.
  3. Napoli-UOC Radiologia Vascolare ed Interventistica, AORN "A.Cardarelli", Italy.
  4. Roma-UOC di Diagnostica per Immagini e Radiologia Interventistica, Policlinico Universitario Campus Biomedico, Italy.

PMID: 29552250 PMCID: PMC5851309 DOI: 10.1016/j.radcr.2017.10.003

Abstract

Pulmonary sequestration is a congenital malformation characterized by dysplastic pulmonary tissue which receives blood supply by arterial systemic system, not in communication with tracheobronchial tree. Although it could be asymptomatic, it can also cause recurrent infections and hemoptysis, rarely massive and fatal. The conventional treatment consists in surgical resection of the pulmonary sequestration, but in the last few years endovascular embolization has been proposed as a valid therapeutic alternative. In this paper, we report the case of a 43-year-old woman affected by recurrent hemoptysis. Computed tomography angiography of the chest, abdomen, and pelvis was performed in emergency setting. Intralobar pulmonary sequestration in the lower lobe of the right lung was found. A bulky aberrant artery originating from the thoracic aorta supplied the pulmonary sequestration. The interventional radiologist performed an endovascular embolization with coils of the vascular malformation. The technical success of the procedure was confirmed by computed tomography angiography of the chest performed on the fourth day after procedure. Further examination performed 6 months later showed no complications. The patient was completely asymptomatic during follow-up. This procedure can demonstrate that arterial embolization is a valid and effective therapeutic alternative to surgical resection in the treatment of pulmonary sequestration.

Keywords: CT angiography; Embolization; Pulmonary sequestration; Vascular malformation

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