Clinical Report: Coil Embolization for Abnormal Systemic Arterial Supply

Overview

This report details a case of a 40-year-old female with hemoptysis due to an anomalous systemic artery supplying the left lung's lower lateral segment. Successful coil embolization was performed, leading to the effective occlusion of the abnormal vessel without complications.

Background

Abnormal systemic arterial supply to the lung is a rare congenital malformation that can lead to significant clinical symptoms, including hemoptysis. Accurate diagnosis and intervention are crucial to prevent misdiagnosis and ensure effective treatment. This case highlights the importance of advanced imaging techniques in identifying such vascular anomalies.

Data Highlights

No numerical data or trial data available in the article.

Key Findings

• A 40-year-old female presented with hemoptysis and was diagnosed with an anomalous systemic artery.
• CT angiography revealed an abnormal branch from the descending aorta supplying the left lung's lower lateral segment.
• Digital subtraction angiography confirmed the diagnosis and guided the embolization procedure.
• Coil embolization successfully occluded the abnormal artery, with no complications reported.
• Follow-up CT scan showed significant absorption of the left lower lobe shadow and confirmed coil placement.

Clinical Implications

This case underscores the necessity of thorough imaging evaluation in patients presenting with hemoptysis to identify potential vascular anomalies. Coil embolization is a viable and effective treatment option for managing anomalous systemic arterial supply to the lung.

Conclusion

The successful management of this case illustrates the effectiveness of endovascular techniques in treating rare vascular malformations. Enhanced imaging and interventional strategies can significantly improve patient outcomes.

References

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5. CIRSE Standards of Practice on Bronchial Artery Embolisation | CardioVascular and Interventional Radiology
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8. Transcatheter closure of anomalous systemic arterial supply to the left lung from the left subclavian artery: Diagnostic and procedural challenges - PMC