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Surgical treatment of abnormal systemic artery to the left lower lobe: A case report

BACKGROUND: Abnormal systemic artery to the left lower lobe is a rare congenital abnormality characterized by anomalous communication between the systemic and pulmonary circulation. Owing to its rarity, there is limited clinical experience with respect to the diagnosis and treatment of this disease....

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Autores principales: Zhang, Yi-Yuan, Gu, Xiao-Ying, Li, Jia-Lin, Liu, Zhao, Lv, Guo-Yue
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462215/
https://www.ncbi.nlm.nih.gov/pubmed/34621880
http://dx.doi.org/10.12998/wjcc.v9.i27.8192
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author Zhang, Yi-Yuan
Gu, Xiao-Ying
Li, Jia-Lin
Liu, Zhao
Lv, Guo-Yue
author_facet Zhang, Yi-Yuan
Gu, Xiao-Ying
Li, Jia-Lin
Liu, Zhao
Lv, Guo-Yue
author_sort Zhang, Yi-Yuan
collection PubMed
description BACKGROUND: Abnormal systemic artery to the left lower lobe is a rare congenital abnormality characterized by anomalous communication between the systemic and pulmonary circulation. Owing to its rarity, there is limited clinical experience with respect to the diagnosis and treatment of this disease. CASE SUMMARY: We report a 60-year-old man who presented with a history of hemoptysis for 20 d. Contrast-enhanced computed tomography of the chest confirmed the diagnosis of abnormal systemic artery to the left lower lobe, and surgical treatment was performed. The aberrant artery arising from the descending thoracic aorta was ligated, followed by removal of the left lower lobe. The patient showed good recovery and was discharged 6 d after the surgery. At the 1-year follow-up, the patient had recovered completely, and lung CT showed no abnormal findings. CONCLUSION: We present a case of abnormal systemic artery to the left lower lobe that was successfully managed by surgical resection of the aberrant artery and the left lower lobe. This case report adds to the clinical experience of diagnosing and treating this rare entity.
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spelling pubmed-84622152021-10-06 Surgical treatment of abnormal systemic artery to the left lower lobe: A case report Zhang, Yi-Yuan Gu, Xiao-Ying Li, Jia-Lin Liu, Zhao Lv, Guo-Yue World J Clin Cases Case Report BACKGROUND: Abnormal systemic artery to the left lower lobe is a rare congenital abnormality characterized by anomalous communication between the systemic and pulmonary circulation. Owing to its rarity, there is limited clinical experience with respect to the diagnosis and treatment of this disease. CASE SUMMARY: We report a 60-year-old man who presented with a history of hemoptysis for 20 d. Contrast-enhanced computed tomography of the chest confirmed the diagnosis of abnormal systemic artery to the left lower lobe, and surgical treatment was performed. The aberrant artery arising from the descending thoracic aorta was ligated, followed by removal of the left lower lobe. The patient showed good recovery and was discharged 6 d after the surgery. At the 1-year follow-up, the patient had recovered completely, and lung CT showed no abnormal findings. CONCLUSION: We present a case of abnormal systemic artery to the left lower lobe that was successfully managed by surgical resection of the aberrant artery and the left lower lobe. This case report adds to the clinical experience of diagnosing and treating this rare entity. Baishideng Publishing Group Inc 2021-09-26 2021-09-26 /pmc/articles/PMC8462215/ /pubmed/34621880 http://dx.doi.org/10.12998/wjcc.v9.i27.8192 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Zhang, Yi-Yuan
Gu, Xiao-Ying
Li, Jia-Lin
Liu, Zhao
Lv, Guo-Yue
Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title_full Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title_fullStr Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title_full_unstemmed Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title_short Surgical treatment of abnormal systemic artery to the left lower lobe: A case report
title_sort surgical treatment of abnormal systemic artery to the left lower lobe: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462215/
https://www.ncbi.nlm.nih.gov/pubmed/34621880
http://dx.doi.org/10.12998/wjcc.v9.i27.8192
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