Advertisement

A case of pryce type I intrapulmonary sequestration

  • Takuya Nomoto
  • Toru Shindo
  • Morihisa Kitano
  • Yoshiaki Kori
  • Satoshi Noma
Case Report

Abstract

A twenty-year-old asymptomatic man hospitalized because of a vascular murmur and abnormal shadow in the left lower lung on X-ray film. An aortogram revealed an abnormal artery arising from the descending thoracic aorta and supplying the left basal segment, which had no other pulmonary arteries. Although lung ventilation scintigraphy demonstrated reduced ventilation to the left lower lobe, bronchogram showed an almost normal bronchial tree except that peripheral branches were slightly thin. A clinical diagnosis of Pryce type I intrapulmonary sequestration was made, and left lower lobectomy was performed successfully. We have analyzed 31 cases of Pryce type I intrapulmonary sequestration in Japan. A vascular murmur is often heard, and a chest X-ray usually shows either a mass shadow or increased vascular markings. In most of those cases, an abnormal artery arises from the descending thoracic aorta and it supplies the left basal segment. Because this type of sequestration causes hemoptysis and infections, surgical intervention is indicated.

Keywords

Thoracic Aorta Left Lower Lobe Pulmonary Sequestration Vascular Marking Lower Lobectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1).
    Pryce DM: Lower accessory pulmonary artery with intralobar sequestration of lung. J Pathol 58: 457–467, 1946Google Scholar
  2. 2).
    Köhler R: Pulmonary sequestration. Acta Radiol (Diag) 8: 337–353, 1969Google Scholar
  3. 13).
    Litwin SB, Plauth WH Jr, Nadas AS: Anomalous systemic arterial supply to the lung cause pulmonary-artery hypertension. N Engl J Med 283: 1098–1099, 1970Google Scholar
  4. 14).
    Yabek SM, Burstein J, Berman W Jr, Dillon T: Aberrant systemic supply to the left lung with congestive heart failure. Chest 80: 636–637, 1981Google Scholar
  5. 20).
    Hessel EA II, Boyden EA, Stamm SJ, Sauvage LR: High systemic origin of the sole artery to the basal segments of the left lung. Findings, surgical treatment, and embryologic interpretation. Surgery 67: 624–632, 1970Google Scholar

Copyright information

© Springer Fachmedien Wiesbaden GmbH 1998

Authors and Affiliations

  • Takuya Nomoto
    • 1
  • Toru Shindo
    • 4
  • Morihisa Kitano
    • 4
  • Yoshiaki Kori
    • 2
  • Satoshi Noma
    • 3
  1. 1.Department of Thoracic SurgeryTenri HospitalNaraJapan
  2. 2.Department of Cardiovascular SurgeryTenri HospitalNaraJapan
  3. 3.Department of Respiratory MedicineTenri HospitalNaraJapan
  4. 4.Department of RadiologyTenri HospitalNaraJapan

Personalised recommendations