Ann Pediatr Card Close
 

Figure 2: DSA images of aneurysmal major aortopulmonary collateral during embolization. (a) Angiogram from origin of major aortopulmonary collateral with aneurysm along the course of major aortopulmonary collateral beginning from its ostium (red tailed arrow) and extensive branching to bilateral lung segments (black dotted arrows). (b) Selective angiogram from major aortopulmonary collateral distal to aneurysm before embolization. The location of aneurysm is shown by red tailed arrow. (c) Right subclavian artery angiogram post coiling showing good opacification without any prolapse or thrombosis in subclavian branches. The aneurysm (red) tailed arrow is totally thrombosed. (d and e) Glue cast in vertical segment of major aortopulmonary collateral (white dotted arrows) and coil mass inside aneurysm (white curved arrow) close to right vertebral artery origin (*) and good flow in right common carotid artery when injected from innominate artery. F-Aortogram from descending aorta showing multiple collaterals in left and right hemithorax (blue solid arrows) which were embolized subsequently. L CCA: left common carotid artery, L SCA: left subclavian artery, L VA: left vertebral artery, R CCA: Right common carotid artery, R SCA: Right subclavian artery, R VA: Right vertebral artery

Figure 2: DSA images of aneurysmal major aortopulmonary collateral during embolization. (a) Angiogram from origin of major aortopulmonary collateral with aneurysm along the course of major aortopulmonary collateral beginning from its ostium (red tailed arrow) and extensive branching to bilateral lung segments (black dotted arrows). (b) Selective angiogram from major aortopulmonary collateral distal to aneurysm before embolization. The location of aneurysm is shown by red tailed arrow. (c) Right subclavian artery angiogram post coiling showing good opacification without any prolapse or thrombosis in subclavian branches. The aneurysm (red) tailed arrow is totally thrombosed. (d and e) Glue cast in vertical segment of major aortopulmonary collateral (white dotted arrows) and coil mass inside aneurysm (white curved arrow) close to right vertebral artery origin (*) and good flow in right common carotid artery when injected from innominate artery. F-Aortogram from descending aorta showing multiple collaterals in left and right hemithorax (blue solid arrows) which were embolized subsequently. L CCA: left common carotid artery, L SCA: left subclavian artery, L VA: left vertebral artery, R CCA: Right common carotid artery, R SCA: Right subclavian artery, R VA: Right vertebral artery