Application of endovascular embolization prior to surgical removal of the lobe of the lung on an adult patient with pulmonary sequestration

Abstract

Introduction. Pulmonary sequestration is a rare and severe bronchopulmonary dysplasia having clinical symptoms of infectious pneumonia and respiratory distress; multi-morphological shadows are visible while performing X-ray testing. The following tests were used in order to determine the diagnosis: Doppler ultrasound, X-ray testing, computed tomography, magnetic resonance, aortography, angiopulmonography. Pulmonary sequestrations always have autonomic blood supply. Due to this reason, effective treatment method facilitating the course and the results of surgical operation – endovascular embolization of the nutrient artery – is possible. Aim. To study the pathogenesis, diagnostics, and treatment of a rare and severe lung anomaly by combining endovascular and surgical treatment methods. Materials and methods. A patient was examined and treated for pulmonary sequestration at Thoracic Surgery Department of the Hospital of Lithuanian University of Health Sciences Kauno Klinikos. Analysis of clinical signs, research results prior to endovascular treatment and surgical operation, indications for these interventions and treatment results was conducted. Results. Treatment strategy for a patient with pulmonary sequestration prior to surgery by applying endovascular embolization of the nutrient artery was successful and had positive results. Conclusions. This clinical case demonstrates successful results of treating pulmonary sequestration by applying endovascular and surgical treatment methods. Endovascular embolization is a safe and effective preoperative treatment method of pulmonary sequestration.