There are few reports regarding endovascular treatment in thoracic surgical patients. Here, we describe the cases of 2 patients who received adjuvant endovascular therapy prior to surgery. One presented with recurrent chest infection. Computed tomography revealed systemic blood supply to an intralobar sequestration. The other presented with an avulsion injury to the internal mammary vein. Coil embolization was employed in both patients with subsequent uncomplicated surgery. Endovascular intervention may stop active bleeding in the chest and reduce the risk of operative hemorrhage in selected thoracic surgical patients.
KawamuraSNishimakiHTakigawaM. Internal mammary artery injury after blunt chest trauma treated with transcatheter arterial embolization. J Trauma2006; 61: 1536–1539.
2.
ChenMYMillerPRMcLaughlinCA3rd. The trend of using computed tomography in the detection of acute thoracic aortic and branch vessel injury after blunt thoracic trauma: single-center experience over 13 years. J Trauma2004; 56: 783–785.
3.
PryceDM. Lower accessory pulmonary artery with intralobar sequestration of lung: a report of seven cases. J Pathol Bacteriol1946; 58: 457–467.
4.
PetersenGMartinUSinghalACrinerGJ. Intralobar sequestration in the middle-aged and elderly adult: recognition and radiographic evaluation. J Thorac Cardiovasc Surg2003; 126: 2086–2090.
5.
CurrosFChigotVEmondS. Role of embolisation in the treatment of bronchopulmonary sequestration. Pediatr Radiol2000; 30: 769–773.
