Lara Hewett, BS, Jennie Kwon, BS, Joshua D. Adams, MD, Chadrick E

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Intralobar Pulmonary Sequestration With Aneurysmal Feeding Vessel: Use of Hybrid Surgical Management Lara Hewett, BS, Jennie Kwon, BS, Joshua D. Adams, MD, Chadrick E. Denlinger, MD, Jacob A. Klapper, MD The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e533-e535 (December 2016) DOI: 10.1016/j.athoracsur.2016.05.043 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Steady-state free precession magnetic resonance imaging series. (A) Origin of aberrant vessel from thoracic aorta at diaphragm, sagittal (solid arrow). (B) Partially thrombosed aneurysm of the feeding vessel, sagittal (asterisk). (C) Right lower lobe sequestration, sagittal (asterisk). (D) Partially thrombosed aneurysm (solid arrow) and ostium of the anomalous feeding vessel (hollow arrow), coronal. The Annals of Thoracic Surgery 2016 102, e533-e535DOI: (10.1016/j.athoracsur.2016.05.043) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Aortogram after stent-graft placement demonstrating the aberrant vessel (arrows) branching from the hiatal aorta. The patent portion of aberrant supply vessel proximal to the thrombosed aneurysm is only vaguely visible because minimal contrast agent was administered. The Annals of Thoracic Surgery 2016 102, e533-e535DOI: (10.1016/j.athoracsur.2016.05.043) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Sectioned right lower lobe showing dilated aneurysm of aberrant vessel measuring 9 × 4 × 4 cm (solid arrows) with portions of clotted blood of different ages. This section also shows an area of associated pneumonia adjacent to the clot (hollow arrow) and normal-appearing lung parenchyma (asterisk). The Annals of Thoracic Surgery 2016 102, e533-e535DOI: (10.1016/j.athoracsur.2016.05.043) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions