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J Thorac Cardiovasc Surg 2006;131:742-743
© 2006 The American Association for Thoracic Surgery

Brief Communication

Systemic arterial supply to normal basal segments of the left lower lobe along with the pulmonary artery: Is lung resection warranted?

^a Departments of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, South Korea
^b Department of Anesthesiology, Inha University Hospital, Incheon, South Korea
^c Department of Pathology, Inha University Hospital, Incheon, South Korea
^d Division of Pulmonology, Inha University Hospital, Incheon, South Korea

Received for publication September 13, 2005; accepted for publication October 10, 2005.

^_* Address for reprints: Wan Ki Baek, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, 7-206, 3-Ga, Shinheung-Dong, Jung-Ku, Incheon 400-103, South Korea (Email: wkbaek@inha.ac.kr).

The first 20% of the full text of this article appears below.

Dr W. Baek

Several reports that describe anomalous systemic arterial supply to the basal segments of the left lung without sequestration uniformly state absence of the pulmonary artery in the diseased segments of the lung. The surgical treatment encompasses ligation or division of the anomalous artery, routinely followed by resection of the diseased segments of the lung or reimplantation of the anomalous artery to the pulmonary artery. We report here a case of systemic arterial supply to the basal segments of the left lower lobe along with the pulmonary artery and normal tracheobronchial tree. In this particular case, simple division of the anomalous artery has brought a satisfactory result. No lung resection or reimplantation of the anomalous artery was warranted.

Clinical Summary

A 17-year-old boy presented with recurrent episodes of hemoptysis. He had been taking empiric antituberculous medication for 6 months. A computed tomographic scan was obtained that demonstrated a large anomalous systemic artery from the descending aorta to the lower part of the left lung. An . . . [Full Text of this Article]

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				S. Jiang, J.-Y. Shi, X.-H. Zhu, C. Chen, X.-W. Sun, D. Yu, and B. Jie Endovascular Embolization of the Complete Type of Anomalous Systemic Arterial Supply to Normal Basal Lung Segments: A Report of Four Cases and Literature Review Chest, June 1, 2011; 139(6): 1506 - 1513. [Abstract] [Full Text] [PDF]

				R. Jaspers, W. Barendregt, G. Limonard, and F. Visser Necessary resection of the left lower lobe due to systemic arterial supply J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1384 - 1385. [Full Text] [PDF]