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Journal of Cardiothoracic Surgery

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Open Access 01-12-2018 | Case report

Extrapulmonary sequestration with a left internal thoracic arterial feeding vessel in an infant treated with video-assisted thoracoscopic resection: a case report

Authors: Laura DiChiacchio, Clint D. Cappiello, Jose Greenspon

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

Congenital lung malformations exist along a spectrum of pathogenesis and disease severity. Extrapulmonary sequestration (EPS), in which nonfunctional lung tissue develops without connection to the tracheobronchial tree, is one rare manifestation of this disease. Atypical vascular anatomy with a systemic feeding vessel characterizes these lesions.

Case presentation

A 3 day old, 37 week gestation infant underwent chest X-ray for confirmation of umbilical catheter placement and was found to have an elevated left hemidiaphragm consistent with eventration versus congenital diaphragmatic hernia. He remained asymptomatic and was evaluated as an outpatient at the age of 9 months, where CT angiogram demonstrated extrapulmonary versus intrapulmonary sequestration with a systemic feeding vessel from the left internal mammary artery.

Conclusions

It is exceedingly rare for the feeding artery to arise from the internal mammary; two such cases have been reported to date, both in adult patients. Here we present a third case of EPS with arterial supply from the internal mammary successfully treated with video-assisted thoracoscopic resection in a 9 month old infant.

Tashtoush B, Memarpour R, Gonzalez J, Gleason JB, Hadeh A. Pulmonary sequestration: a 29 patient case series and review. J Clin Diagn Res. 2015;9(12):AC05–8.PubMedPubMedCentral

Eber E. Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery, or no surgery? Semin Respir Crit Care Med. 2007;28(3):355–66.CrossRefPubMed

Koontz CS, Oliva V, Gow KW, Wulkan ML. Video-assisted thoracoscopic surgical excision of cystic lung disease in children. J Pediatr Surg. 2005;40(5):835–7.CrossRefPubMed

Reinke C, Kheraini A, Rice HE. Thoracoscopic resection of an apical extralobar pulmonary sequestration in an infant. J Laparoendosc Adv Surg Tech A. 2007;17(2):252–4.CrossRefPubMed

Yamataka A, Koga H, Ochi T, Imashimizu K, Suzuki K, Kuwatsuru R, Lane G, Nishimura K, Inada E, Suzuki K. Pulmonary lobectomy techniques in infants and children. Pediatr Surg Int. 2017;33(4):483–95. https://doi.org/10.1007/s00383-016-4052-5. Epub 2016 Dec 31CrossRefPubMed

Kulaylat AN, Engbrecht BW, Hollenbeak CS, Safford SD, Cilley RE, Dillon PW. Comparing 30-day outcomes between thoracoscopic and open approaches for resection of pediatric congenital lung malformations: Evidence from NSQIP. J Pediatr Surg. 2015;50(10):1716–21. https://doi.org/10.1016/j.jpedsurg.2015.06.007. Epub 2015 Jun 20CrossRefPubMed

Wagenaar AE, Tashiro J, Satahoo SS, Sola JE, Neville HL, Hogan AR, Perez EA. Resection of pediatric lung malformations: national trends in resource utilization & outcomes. J Pediatr Surg. 2016;51(9):1414–20. https://doi.org/10.1016/j.jpedsurg.2016.04.020. Epub 2016 May 17CrossRefPubMed

Kunisaki SM, Powelson IA, Haydar B, Bowshier BC, Jarboe MD, Mychaliska GB, Geiger JD, Hirschl RB. Thoracoscopic vs open lobectomy in infants and young children with congenital lung malformations. J Am Coll Surg. 2014;218(2):261–70. https://doi.org/10.1016/j.jamcollsurg.2013.10.010. Epub 2013 Oct 24CrossRefPubMed

Lee EY, Dillon JE, Callahan MJ, Voss SD. 3D multidetector CT angiographic evaluation of extralobar pulmonary sequestration with anomalous venous drainage into the left internal mammary vein in a paediatric patient. Br J Radiol. 2006;79(945):e99–102.CrossRefPubMed

10.

Xie D, Xie H, You X, Chen C, Jiang G. Pulmonary sequestration with aberrant arteries arising from the renal artery and the internal thoracic artery. Ann Thorac Surg. 2013;96(5):e131. https://doi.org/10.1016/j.athoracsur.2013.08.018.CrossRefPubMed

11.

Hattori Y, Negi K, Takeda I, Iriyama T, Sugimura S, Watanabe K. Intrapulmonary sequestration with arterial supply from the left internal thoracic artery: a case report. Ann Thorac Cardiovasc Surg. 2000;6(2):119–21.PubMed

Title: Extrapulmonary sequestration with a left internal thoracic arterial feeding vessel in an infant treated with video-assisted thoracoscopic resection: a case report
Authors: Laura DiChiacchio
Clint D. Cappiello
Jose Greenspon
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0775-9

At a glance: The STEP trials

Springer Medicine

Extrapulmonary sequestration with a left internal thoracic arterial feeding vessel in an infant treated with video-assisted thoracoscopic resection: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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