Sen Jiang

Endovascular Embolization of the Complete Type of Anomalous Systemic Arterial Supply to Normal Basal Lung Segments: A Report of Four Cases and Literature Review

The complete type of anomalous systemic arterial supply to normal basal lung segments is characterized by anomalous systemic artery supply to all or some of the normal basal segments with an absent corresponding pulmonary artery. Surgical intervention generally is required. This study reports on four patients with this anomaly with hemoptysis or a combination of other symptoms who underwent successful transarterial embolization using metallic coils or an Amplatzer vascular plug. To our knowledge, only six such cases treated with transarterial embolization have been reported previously in adult patients.

Bilateral subclavian origin of the bronchial arteries combined with absence of other origins

There are numerous anatomical variations of the sites of origin of the bronchial arteries (BAs). A subclavian origin of a BA involves an aberrant artery that originates from the subclavian artery (SCA) or its branches. However, the aberrant artery usually originates directly from the SCA, and an SCA-origin BA arising from the branches of the SCA is rare. We herein present an extremely rare case of a right BA arising from the ipsilateral costocervical trunk, and a left BA arising from the ipsilateral thyrocervical trunk, in the absence of other origins of the BA. This anatomical variation was detected during pretherapeutic evaluation by multidetector-row computed tomography and confirmed by selective angiography. Recognition of these anatomic variations is important to surgical, diagnostic, and interventional radiologic procedures in the thorax.

Common trunk of left internal thoracic artery and thyrocervical trunk arising from the ipsilateral vertebral artery

The sites of origin of the branches of the subclavian artery depict numerous anatomical variations. However, a common trunk of the internal thoracic artery (ITA) and thycocervical trunk (TCT) arising from the vertebral artery is a rare anatomical finding. Herein, we present the first case in which the common trunk of the left ITA and TCT arose from the ipsilateral proximal vertebral artery as discovered on pre-therapeutic evaluation by multidetector-row computed tomography and clearly confirmed by selective angiography. It is important to recognize such anatomic variations for surgical, diagnostic, and interventional radiologic procedures in the head, neck, thorax, and abdomen.

An Aberrant Left Bronchial Artery Originating from the Proximal Ascending Aorta

The origin of the bronchial arteries (BAs) has numerous anatomical variations. It is important to recognize these variations when performing interventional radiologic procedures in the thorax. We report the case of a 71-year-old man who underwent transarterial infusion chemotherapy for squamous cell carcinoma of the upper lobe of the left lung via a feeding left BA that originated from the proximal ascending aorta. After two cycles of transarterial infusion chemotherapy, the tumor significantly decreased in size. To the best of our knowledge, this is the first report of an aberrant BA originating from this site.

Endovascular coil embolization of a costocervical trunk pseudoaneurysm after bullectomy with pleural abrasion.

Transarterial embolization (TAE) is less invasive than surgery for the treatment of pseudoaneurysms. Costocervical trunk (CCT) pseudoaneurysms are extremely rare. We herein report an unusual case of a 45-year-old man with a CCT pseudoaneurysm caused by a bullectomy with pleural abrasion, which had been performed to manage a spontaneous pneumothorax. The patient presented with chronic chest pain and successfully underwent TAE with a metallic coil. The chest pain completely disappeared 2 weeks after the TAE, and follow-up computed tomography showed that the pseudoaneurysm had almost completely disappeared 9 months after the TAE.