Zhang YY, Gu XY, Li JL, Liu Z, Lv GY. Surgical treatment of abnormal systemic artery to the left lower lobe: A case report . World J Clin Cases 2021; 9(27): 8192-8198 [PMID: 34621880 DOI: 10.12998/wjcc.v9.i27.8192]
Corresponding Author of This Article
Guo-Yue Lv, PhD, Chief Doctor, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. lvgy@jlu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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. See: http://creativecommons.org/licenses/by-nc/4.0/
Yi-Yuan Zhang, Jia-Lin Li, Zhao Liu, Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Xiao-Ying Gu, Department of Anesthesiology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Guo-Yue Lv, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Zhang YY performed the study and wrote the paper; Gu XY provided technical advice and co-wrote the article; Li JL and Liu Z collected clinical data; Lv GY designed and supervised the study; All authors have read and approved the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guo-Yue Lv, PhD, Chief Doctor, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin Province, China. lvgy@jlu.edu.cn
Received: April 23, 2021 Peer-review started: April 23, 2021 First decision: June 6, 2021 Revised: June 30, 2021 Accepted: August 3, 2021 Article in press: August 3, 2021 Published online: September 26, 2021 Processing time: 146 Days and 0.3 Hours
Abstract
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.
Core Tip: Abnormal systemic artery to the left lower lobe is a rare congenital vascular malformation. Experience in diagnosis and treatment remains limited. Here we presented the clinical presentation, contrast-enhanced computed tomography, surgical procedure and follow-up result of an abnormal systemic artery to the left lower lobe case. We discussed the difference between abnormal systemic artery to the left lower lobe and pulmonary sequestration and different treatment strategies. This case report adds to the clinical experience with regard to the diagnosis and treatment of this rare disease.
