[Diagnosis and treatment of a rare intrapulmonary vascular anomaly in a child (author's transl)]. / Erkennung und Behandlung einer seltenen intrapulmonalen Gefässanomalie im Säuglingsalter

In the present case an artery originating from the abdominal aorta and running through the diaphragma into the inferior lobe of the left lung was identified by retrograde aortography. It ended in a vascular coil which was drained by regular pulmonary veins. By transthoracal resection of pulmonary parenchyma and malformation was removed without complications. Such anomalies represent absolute but not urgent indications for surgery. Without treatment, the shunt volume will cause additional straining for the heart. Furthermore, pulmonary complications and thromboembolic processes may arise.