Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy
There is a risk for high-output congestive heart failure to be associated with an extra-lobar pulmonary sequestration (ELS) when there is left-to-left shunting caused by a large systemic arterial supply to a sequestration and venous drainage via the pulmonary veins into the left atrium. We present a...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2017-05-01
|
Series: | Journal of Pediatric Surgery Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576616302779 |
_version_ | 1818252272953458688 |
---|---|
author | Kazuto Suda Manabu Okawada Takashi Doi Go Miyano Hiroyuki Koga Geoffrey J. Lane Atsushi Arakawa Atsuyuki Yamataka |
author_facet | Kazuto Suda Manabu Okawada Takashi Doi Go Miyano Hiroyuki Koga Geoffrey J. Lane Atsushi Arakawa Atsuyuki Yamataka |
author_sort | Kazuto Suda |
collection | DOAJ |
description | There is a risk for high-output congestive heart failure to be associated with an extra-lobar pulmonary sequestration (ELS) when there is left-to-left shunting caused by a large systemic arterial supply to a sequestration and venous drainage via the pulmonary veins into the left atrium. We present a 2-year-old boy who underwent thoracoscopic resection of an unusually hypervascular right ELS with a high output left-to-left shunt between the aorta and the left atrium via a pulmonary vein. This case is of particular interest because computed tomographic angiography identified a hypervascular nidus with indistinct borders between arterial and venous vessels suggestive of an arteriovenous malformation. |
first_indexed | 2024-12-12T16:21:33Z |
format | Article |
id | doaj.art-b44843e503814d2fb6454f53584a41dd |
institution | Directory Open Access Journal |
issn | 2213-5766 |
language | English |
last_indexed | 2024-12-12T16:21:33Z |
publishDate | 2017-05-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Pediatric Surgery Case Reports |
spelling | doaj.art-b44843e503814d2fb6454f53584a41dd2022-12-22T00:18:59ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662017-05-0120C404410.1016/j.epsc.2017.03.009Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boyKazuto Suda0Manabu Okawada1Takashi Doi2Go Miyano3Hiroyuki Koga4Geoffrey J. Lane5Atsushi Arakawa6Atsuyuki Yamataka7Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Human Pathology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanThere is a risk for high-output congestive heart failure to be associated with an extra-lobar pulmonary sequestration (ELS) when there is left-to-left shunting caused by a large systemic arterial supply to a sequestration and venous drainage via the pulmonary veins into the left atrium. We present a 2-year-old boy who underwent thoracoscopic resection of an unusually hypervascular right ELS with a high output left-to-left shunt between the aorta and the left atrium via a pulmonary vein. This case is of particular interest because computed tomographic angiography identified a hypervascular nidus with indistinct borders between arterial and venous vessels suggestive of an arteriovenous malformation.http://www.sciencedirect.com/science/article/pii/S2213576616302779Pulmonary sequestrationCongestive heart failureArterio-venous malformationThoracoscopic surgery |
spellingShingle | Kazuto Suda Manabu Okawada Takashi Doi Go Miyano Hiroyuki Koga Geoffrey J. Lane Atsushi Arakawa Atsuyuki Yamataka Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy Journal of Pediatric Surgery Case Reports Pulmonary sequestration Congestive heart failure Arterio-venous malformation Thoracoscopic surgery |
title | Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy |
title_full | Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy |
title_fullStr | Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy |
title_full_unstemmed | Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy |
title_short | Thoracoscopic resection of an unusually hypervascular extra-lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2-year-old boy |
title_sort | thoracoscopic resection of an unusually hypervascular extra lobar pulmonary sequestration that resembled an arteriovenous malformation in a 2 year old boy |
topic | Pulmonary sequestration Congestive heart failure Arterio-venous malformation Thoracoscopic surgery |
url | http://www.sciencedirect.com/science/article/pii/S2213576616302779 |
work_keys_str_mv | AT kazutosuda thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT manabuokawada thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT takashidoi thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT gomiyano thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT hiroyukikoga thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT geoffreyjlane thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT atsushiarakawa thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy AT atsuyukiyamataka thoracoscopicresectionofanunusuallyhypervascularextralobarpulmonarysequestrationthatresembledanarteriovenousmalformationina2yearoldboy |