Background and Objectives: Pulmonary sequestration (PS) is a rare congenital lung anomaly with anomalous systemic arterial supply. Surgical resection is the standard treatment, but some children have contraindications. Endovascular embolization (EE) is an established alternative; published pediatric experience is limited, particularly in neonates. We report a two-centre experience with extended follow-up and quantitative hemodynamic data. Methods: Six pediatric patients (five male; median age 6 months, range 11 days to 4 years and 8 months) underwent EE for PS at two centres in Gdańsk, Poland, between 2020 and 2025. Contraindications to surgery were severe pulmonary arterial hypertension, high-output cardiac failure, low body weight with comorbidity, complex extralobar anatomy or refused parental consent. Procedures were performed under general anesthesia via right common femoral arterial access; device strategy was tailored to vessel anatomy. Results: Technical success was 100% with no procedural complications. Median feeding-artery diameter was 3.4 mm (range 2.1 to 5.3 mm). An Amplatzer-family vascular plug was used in five patients (83.3%), pushable platinum coils in two (33.3%) and Onyx-18 in one (16.7%); two had hybrid combinations and one underwent planned staged two-step embolization. Median procedural duration was 51 min. At median follow-up of 50 months (range 11 to 68), all patients showed sequester regression on imaging. Reverse cardiac remodelling occurred within five weeks in the patient with pre-procedural left ventricular dilation (Z-score +2.45 returning to normal); systolic pulmonary artery pressure fell from 35 to 40 to 17 mmHg within six weeks in the neonate treated at 11 days of life for high-output cardiac failure. No patient required surgical resection. Conclusions: Endovascular embolization is safe and effective in pediatric patients with pulmonary sequestration and contraindications to surgery, including neonates with comorbidity. Documented reverse cardiac remodelling and rapid hemodynamic improvement support its use in selected cases.

Median Arcuate Ligament Syndrome (MALS) typically causes gastrointestinal symptoms due to celiac artery compression. Rarely, extrinsic compression of the renal artery may lead to renovascular hypertension. We report a 15-year-old boy with progressive renal asymmetry and poorly controlled hypertension without abdominal symptoms. Imaging demonstrated compression of the celiac trunk and left renal artery by the median arcuate ligament and diaphragmatic crura. Open surgical decompression restored renal artery flow and normalized blood pressure. This case highlights an unusual pediatric presentation of MALS and emphasizes that early recognition and timely surgical intervention can prevent irreversible renal vascular damage.

Almoust half of the world’s population is at risk for inadequate zinc (Zn) intake, a strategic trace element that is necessary for a healthy immune system. A lack of zinc can make a person more susceptible to disease and illness. There is a need of defining additional sources of zinc in diet. Cadmium (Cd), however, and its toxicity in food chain receives considerable public and scientific attention. Cd is primarily toxic to kidney and can cause bone demineralization. In many areas in the EU, intake of Cd is not far from maximum tolerable. Mushrooms are well known for accumulating metal ions such as zinc and cadmium. Objective of this study was to define relationship between cultivation systems and conditions on zinc and cadmium content in fruit bodies of Agaricus subrufescens grown on different substrates. Cultivation was performed on mushroom composts based on increasing amount of digestate from anaerobic digestion treatment processes mixed with wheat straw and paper. The Zn and Cd concentration was defined in fruiting bodies, correlated with yield, flush and element concentration in substrates. Results showed percentage of food waste digestate and other components used in experiment had influence on concentration of Zn and Cd in mushroom compost and in A. subrufescens. Zn accumulated in collected mushrooms in amounts reaching from 42.8 to 126.9 mg kg-1 Cd content ranged 2.6 to 17.9 mg kg-1. Significant correlations for Zn concentration between mushrooms and substrates showed increase of Zn in mushrooms when cultivated on substrates with higher amount of digestate.