Anomalous systemic arterial supply to normal basal segments of the lower lobe is a rare congenital anomaly. Resection of the affected lung with ligation of the anomalous artery is commonly performed in these patients. We report a case of this anomaly treated surgically with interruption of the anomalous artery after placing a Hem-o-Lok vascular clip. Interruption of the anomalous artery using this vascular clip was easy and safe, and the thoracoscopic approach was minimally invasive. The patient’s recovery was uneventful and he was doing well without recurrence 4 years after the operation.
YamanakaAHiraiTFujimotoTHaseMNoguchiMKonishiF. Anomalous systemic arterial supply to normal basal segment of the left lower lobe. Ann Thorac Surg1999; 68: 332–338.
2.
MoriSOdakaMAsanoH. Anomalous systemic arterial supply to the basal segment of the lung: feasible thoracoscopic surgery. Ann Thorac Surg2013; 96: 990–994.
3.
BaekWKChoJKimJT. Systemic arterial supply to normal basal segment of the left lower lobe the along with pulmonary artery: is lung resection warranted?J Thorac Cardiovasc Surg2006; 131: 742–743.
4.
Barik R, Patnaik AN, Malempati AR, Nemani L. Pryce type I sequestration: no mosquito shooting. Asian Cardiovasc Thorac Ann 2014 Feb 4. [Epub ahead of print].
5.
JiangSShiJYZhuXH. Endovascular embolization of the complete type of anomalous systemic arterial supply to normal basal lung segments: a report of four cases and literature review. Chest2011; 139: 1506–1513.
6.
PonskyLCherulloEMoinzadehA. The Hemo-o-Lok clip is safe for laparoscopic nephrectomy: a multi-institutional review. Urology2008; 71: 593–596.
