Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients

Pulmonary sequestration (PS) is a rare congenital lung developmental anomaly characterized by abnormal lung tissue that receives its blood supply from the aorta. Among the various types, mixed PSrepresents a distinct subtype. Currently, there is a lack of definitive reports regarding the specific ma...

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Main Authors: Hong Li, Qinhong Li, Xing Zhang, Feng Li, Zhongjian Su, Lili Deng, Chuxiong Gong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1518853/full
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author Hong Li
Qinhong Li
Xing Zhang
Feng Li
Zhongjian Su
Lili Deng
Chuxiong Gong
author_facet Hong Li
Qinhong Li
Xing Zhang
Feng Li
Zhongjian Su
Lili Deng
Chuxiong Gong
author_sort Hong Li
collection DOAJ
description Pulmonary sequestration (PS) is a rare congenital lung developmental anomaly characterized by abnormal lung tissue that receives its blood supply from the aorta. Among the various types, mixed PSrepresents a distinct subtype. Currently, there is a lack of definitive reports regarding the specific management of this condition in infants and young children. We report a case of a 1-year-old patient with mixed PS treated with endovascular occlusion under digital subtraction angiography (DSA). Given the patient's young age and the complexity of the vascular malformation, we opted for endovascular intervention rather than surgery. Utilizing the Seldinger technique, we accessed the right femoral artery and vein for angiography, confirming the abnormal vessels supplying the pulmonary cyst. Subsequently, we placed vascular embolization devices to achieve closure. Postoperatively, the patient did not experience any significant complications. Follow-up revealed substantial absorption of the PS, disappearance of the abnormal vessels originating from the descending aorta, and no recurrence of respiratory infections. This case highlights the efficacy of endovascular intervention in young patients with complex vascular mixed PS.
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publisher Frontiers Media S.A.
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series Frontiers in Cardiovascular Medicine
spelling doaj-art-b6b20d90462d407c827408238042bbc92025-01-20T07:20:26ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.15188531518853Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patientsHong Li0Qinhong Li1Xing Zhang2Feng Li3Zhongjian Su4Lili Deng5Chuxiong Gong6Department of Cardiology, Kunming Children’s Hospital, Kunming, Yunnan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Cardiology, Kunming Children’s Hospital, Kunming, Yunnan, ChinaIntegrated Pediatrics, Kunming Children’s Hospital, Kunming, Yunnan, ChinaDepartment of Cardiology, Kunming Children’s Hospital, Kunming, Yunnan, ChinaDepartment of Cardiology, Kunming Children’s Hospital, Kunming, Yunnan, ChinaDepartment of Cardiology, Kunming Children’s Hospital, Kunming, Yunnan, ChinaPulmonary sequestration (PS) is a rare congenital lung developmental anomaly characterized by abnormal lung tissue that receives its blood supply from the aorta. Among the various types, mixed PSrepresents a distinct subtype. Currently, there is a lack of definitive reports regarding the specific management of this condition in infants and young children. We report a case of a 1-year-old patient with mixed PS treated with endovascular occlusion under digital subtraction angiography (DSA). Given the patient's young age and the complexity of the vascular malformation, we opted for endovascular intervention rather than surgery. Utilizing the Seldinger technique, we accessed the right femoral artery and vein for angiography, confirming the abnormal vessels supplying the pulmonary cyst. Subsequently, we placed vascular embolization devices to achieve closure. Postoperatively, the patient did not experience any significant complications. Follow-up revealed substantial absorption of the PS, disappearance of the abnormal vessels originating from the descending aorta, and no recurrence of respiratory infections. This case highlights the efficacy of endovascular intervention in young patients with complex vascular mixed PS.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1518853/fullpulmonary sequestrationinterventional therapyDSAaortachildren's diseases
spellingShingle Hong Li
Qinhong Li
Xing Zhang
Feng Li
Zhongjian Su
Lili Deng
Chuxiong Gong
Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
Frontiers in Cardiovascular Medicine
pulmonary sequestration
interventional therapy
DSA
aorta
children's diseases
title Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
title_full Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
title_fullStr Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
title_full_unstemmed Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
title_short Case Report: Endovascular embolization under DSA for multivessel supply mixed pulmonary sequestration in young patients
title_sort case report endovascular embolization under dsa for multivessel supply mixed pulmonary sequestration in young patients
topic pulmonary sequestration
interventional therapy
DSA
aorta
children's diseases
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1518853/full
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