Systemic arterial blood supply in the spectrum of bronchopulmonary vascular malformations



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. Congenital bronchopulmonary vascular malformations manifest a wide range of disorders in the three main components of the lungs: respiratory tract and lung parenchyma, arteries and veins. Malformations of all the main components of lung tissues, namely, arterial blood supply, venous outflow and respiratory tract - may be variants of a single primary complex of pulmonaryvascular anomalies.
Observation. A described clinical case demonstrates an extremely interesting mixed bronchoarteriovenous malformation affecting the pulmonary respiratory tract, pulmonary artery and pulmonary vein. Various instrumental techniques were used for the diagnostics, the key of which was computed tomography with intravenous contrast.
Conclusion. The article presents a wide range of pathological changes observed in this clinical case; it also analyzes the nature of each component and terminology.

About the authors

A. L. Yudin

Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-0310-0889

Moscow, 117997

Россия

A. Yu. Razumovskiy

Pirogov Russian National Research Medical University; Filatov Children’s City Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-9497-4070

Moscow, 117997

Moscow, 123001

Россия

O. A. Afukova

Pirogov Russian National Research Medical University

Author for correspondence.
Email: afukova.oa@mail.ru
ORCID iD: 0000-0001-5562-6324

Olga А. Afukova, associate professor, department of radiation diagnostics and therapy 

Moscow, 117997

Россия

Yu. A. Abovich

Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-9446-2163

Moscow, 117997

Россия

E. A. Yumatova

Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-6020-9434

Moscow, 117997

Россия

References

  1. Sade R.M., Clouse M., Ellis F.H. The Spectrum of Pulmonary sequestration. The annals of thoracic surgery. 1974; 18(6): 644–58. https://doi.org/10.1016/S0003-4975(10)64417-7
  2. Lee M.L., Lue H.Ch., Chiu .Sh., Chiu H.Y., Tsao L.Y., Cheng Ch.Y., et al. A Systematic Classification of the Congenital Bronchopulmonary Vascular Malformations: Dysmorphogeneses of the Primitive Foregut System and the Primitive Aortic Arch System. Yonsei Med J. 2008; 49(1): 90–102. https://doi.org/10.3349/ymj.2008.49.1.90
  3. Костюков К.В., Демидов В.Н., Машинец Н.В., Гус А.И. Редкий случай пренатальной диагностики врожденной диафрагмальной грыжи в сочетании с легочным секвестром у плода (обзор литературы и собственное наблюдение). Ультразвуковая и функциональная диагностика. 2016; 1: 40–4. Kostyukov K.V., Demidov V.N., Mashinec N.V., Gus A.I. Prenatal diagnosis of congenital diaphragmatic hernia combined with pulmonary sequestration (literature review and case report). Ultrazvukovaya Funkchionalnaya Diagnostuka. 2016; 1: 40–4. (in Russian)
  4. Разумовский А.Ю., Мокрушина О.Г., Алхасов А.Б., Митупов З.Б., Куликова Н.В., Степаненко Н.С. Торакоскопические резекции лёгких у детей. Хирургия. Журнал им. Н.И. Пирогова. 2015; (8): 39–44. Razumovsky A.Yu., Mokrushina O.G., Alkhasov A.B., Mitupov Z.B., Kulikova N.V., Stepanenko N.S. Thoracoscopic lung resection in children. Khirurgiya. Zнurnal im. N.I. Pirogova. 2015; (8): 39–44. https://doi.org/10.17116/hirurgia20158239-44 (in Russian)
  5. Irodi A., Prabhu S.M., John R.A., Leena R.V. Congenital bronchopulmonary vascular malformations, «sequestration» and beyond. Indian J Radiol Imaging. 2015; 25: 35–43. https://doi.org/10.4103/0971-3026.150138
  6. Panicek D.M., Heitzman E.R., Randall P.A., Groskin S.A., Chew F.S., Lane E.J., Markarian B. The continuum of pulmonary developmental anomalies. Radiographics. 1987; 7: 747–72. https://doi.org/10.1148/radiographics.7.4.3448653
  7. Le Thuong Vu, Nguyen Minh Duc, Thieu-Thi Tra My, Le Tuan Linh, Mai Tan Lien Bang. Two rare cases of horseshoe lung with scimitar syndrome in Vietnam. Respiratory Medicine Case Reports. 2021; 32 (3): 101357. https://doi.org/10.1016/j.rmcr.2021.101357
  8. Rajeshkannan R., Moorthy S., Sreekumar K. P., Ramachandran P.V., Kumar R.K., Remadevi K.S. Role of 64-MDCT in evaluation of pulmonary atresia with ventricular septal defect. AJR. 2010; 194: 110–8. https://doi.org/10.2214/AJR.09.2802
  9. Tchervenkov C.I., Roy N. Congenital Heart Surgery Nomenclature and Database Project: pulmonary atresia – ventricular septal defect. Ann Thorac Surg. 2000; 69: 97–105. https://doi.org/10.1016/s0003-4975(99)01285-0
  10. Singh A.S., Subbain S.K., Subramanian K.G., Agarwal R., Dave D.J., Kulkarni S., et al. Pseudosequestration of the Left Lung. Tex Heart Inst J. 2007; 34(2): 195–8.
  11. Goodman L.R., Jamshidi A., Hipona F.A. Meandering right pulmonary vein simulating the Scimitar syndrome. Chest. 1972; 62: 510–2. https://doi.org/10.1378/chest.62.4.510
  12. Odenthal C., Sarikwal A. Anomalous unilateral single pulmonary vein versus scimitar syndrome: comparison of two paediatric cases and a review of the literature. J Med Imaging Radiat Oncol. 2012; 56: 247–54. https://doi.org/10.1111/j.1754-9485.2012.02385.x
  13. Tyrak K.W., Holda J., Holda M.K., Koziej M., Piatek K., KlimekPiotrowska W. Persistent left superior vena cava. Cardiovasc J Afr. 2017; 28(3): 1–4. https://doi.org/10.5830/CVJA-2016-084
  14. Savu C., Petreanu C., Melinte A., et al. Persistent Left Superior Vena Cava – Accidental Finding. In Vivo. 2020; 34(2): 935–41. https://doi.org/10.21873/invivo.11861
  15. Mlynarski R., Mlynarska A., Sosnowski M. Coronary venous system in cardiac computer tomography: Visualization, classification and role. World J Radiol. 2014; 6(7): 399–408. https://doi.org/10.4329/wjr.v6.i7.399
  16. Felker R.E., Tonkin I.L. Imaging of pulmonary sequestration. Am J Roentgenol. 1990; 154: 241–9.
  17. Кривошеенко Н.В., Грамзин А.В., Павлушин П.М. и соавт. Поддиафрагмальная экстралобарная секвестрация лёгкого в комбинации с дупликационной кистой желудка у новорождённого. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2020; 10(1): 95–102. https://doi.org/10.17816/psaic601 Krivosheenko N.V., Gramzin A.V., Pavlushin P.M., Manakova Ya.L., Shpak L.M., Koinov Yu.Yu., Chikinev Yu.V. Infradiaphragmatic extralobar pulmonary sequestration asossiated with duplication cyst of the gaster in newborn. Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii. 2020; 10(1): 95–102. (in Russian)
  18. Arjun P., Palangadan S., Haque A., Ramachandran R. Intralobar sequestration. Lung India. 2017; 34: 559–61. https://doi.org/10.4103/lungindia.lungindia_51_17
  19. Wani S.A., Mufti G.N., Bhat N.A., et al. Pulmonary sequestration: early diagnosis and management. Case Reports in Pediatrics. 2015; 2015: 1–2. https://doi.org/10.1155/2015/454860
  20. Wei Y., Li F. Pulmonary sequestration: a literature review of 2625 cases. Chin J Gen Pract. 2010; 9(10): 714–5. https://doi.org/10.1016/j.ejcts.2011.01.080
  21. Pooja Abbey, Mahender K. Narula, Rama Anand. Congenital Malformations and developmental anomalies of the lung. Radiology. 2008; 247(3): 632–48. https://doi.org/10.1148/radiol.2473062124
  22. Biyyam D.R., Chapman T., Ferguson M.R., Deutsch G., Dighe M.K. Congenital lung abnormalities: embryologic features, prenatal diagnosis and postanatal radiologic-pathologic correlation. Pediatr Imaging. 2010; 30(6): 1721–38. https://doi.org/10.1148/rg.306105508
  23. Гребнев П.Н., Осипов А.Ю. Диагностика и хирургическое лечение секвестрации лёгких у детей. Практическая медицина. 2010; 6: 141–3. Grebnev P.N., Osipov A.Yu. Diagnosis and surgical treatment of lung sequestration in children. Practical medicine. 2010; 6: 141–3. (in Russian)
  24. Woodring J.H., Howard T.A., Kanga J.F. Congenital pulmonary venolobar syndrome revisited. Radiographics. 1994; 14: 319–69. https://doi.org/10.1148/radiographics.14.2.8190958
  25. Savic B., Birtel F.J., Tholen W., Funke H.D., Knoche R. Lung sequestration: report of seven cases and review of 540 published cases. Thorax. 1979; 34: 96–101. https://doi.org/10.1136/thx.34.1.96
  26. Frush D.P., Donnelly L.E. Pulmonary sequestration spectrum: a new spin with helical CT. AJR. 1997; 169: 679–82. https://doi.org/10.2214/ajr.169.3.9275876
  27. Bush A. Congenital lung disease: a plea for clear thinking and clear nomenclature. Pediatr Pulmonol. 2001; 32: 328–37. https://doi.org/10.1002/ppul.1126

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c)

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies