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    Extrapulmonary sequestration with a left internal thoracic arterial feeding vessel in an infant treated with video-assisted Thoracoscopic resection: A case report

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    Author
    DiChiacchio, L.
    Cappiello, C.D.
    Greenspon, J.
    Date
    2018
    Journal
    Journal of Cardiothoracic Surgery
    Publisher
    BioMed Central Ltd.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1186/s13019-018-0775-9
    Abstract
    Background: Congenital lung malformations exist along a spectrum of pathogenesis and disease severity. Extrapulmonary sequestration (EPS), in which nonfunctional lung tissue develops without connection to the tracheobronchial tree, is one rare manifestation of this disease. Atypical vascular anatomy with a systemic feeding vessel characterizes these lesions. Case presentation: A 3 day old, 37 week gestation infant underwent chest X-ray for confirmation of umbilical catheter placement and was found to have an elevated left hemidiaphragm consistent with eventration versus congenital diaphragmatic hernia. He remained asymptomatic and was evaluated as an outpatient at the age of 9 months, where CT angiogram demonstrated extrapulmonary versus intrapulmonary sequestration with a systemic feeding vessel from the left internal mammary artery. Conclusions: It is exceedingly rare for the feeding artery to arise from the internal mammary; two such cases have been reported to date, both in adult patients. Here we present a third case of EPS with arterial supply from the internal mammary successfully treated with video-assisted thoracoscopic resection in a 9 month old infant. Copyright 2018 The Author(s).
    Keyword
    Extrapulmonary sequestration
    Internal thoracic artery
    Pediatric
    Video-assisted thoracoscopic surgery
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050302062&doi=10.1186%2fs13019-018-0775-9&partnerID=40&md5=402bf02319789efdaa346f7f2b33ec43; http://hdl.handle.net/10713/8884
    ae974a485f413a2113503eed53cd6c53
    10.1186/s13019-018-0775-9
    Scopus Count
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    UMB Open Access Articles 2018

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