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...

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Main Authors: Kazuto Suda (Author), Manabu Okawada (Author), Takashi Doi (Author), Go Miyano (Author), Hiroyuki Koga (Author), Geoffrey J. Lane (Author), Atsushi Arakawa (Author), Atsuyuki Yamataka (Author)
Format: Book
Published: Elsevier, 2017-05-01T00:00:00Z.
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Summary: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.
Item Description:2213-5766
10.1016/j.epsc.2017.03.009