Abstract:
:A 10-month-old boy was referred for tachypnea and heart murmur. An echocardiogram showed unexplained left heart dilation without evidence of an intracardiac shunt. A 64-slice computed tomographic contrast-enhanced angiography showed a large tortuous anomalous artery arising from the descending thoracic aorta and supplying the lower lobe of the left lung. The venous return into the left atrium was normal. The affected lobe had normal lung parenchyma, and its bronchial tree was connected normally with the left main bronchus. Hence, it was not a sequestrated lobe. The boy underwent surgical lobectomy of the left lower lobe and improved. Anomalous arterial supply of a lobe without sequestration of its bronchial tree is a rare pathologic entity. It also is a very rare cause of congestive heart failure in children. Computed tomographic angiography was a useful tool for evaluation of the intrathoracic anomalous vessel in this case.
journal_name
Pediatr Cardioljournal_title
Pediatric cardiologyauthors
Wong MN,Joshi P,Sim KHdoi
10.1007/s00246-008-9287-zsubject
Has Abstractpub_date
2009-01-01 00:00:00pages
85-6issue
1eissn
0172-0643issn
1432-1971journal_volume
30pub_type
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