scholarly journals Pulmonary Sequestration: Early Diagnosis and Management

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Sajad A. Wani ◽  
Gowher N. Mufti ◽  
Nisar A. Bhat ◽  
Ajaz A. Baba

Intralobar sequestration is characterized by aberrant formation of nonfunctional lung tissue that has no communication with the bronchial tree and receives systemic arterial blood supply. Failure of earlier diagnosis can lead to recurrent pneumonia, failure to thrive, multiple hospital admissions, and more morbidity. The aim of this case report is to increase the awareness about the lung sequestration, to diagnose and treat it early, so that it is resected before repeated infection, and prevent the morbidity and mortality.

2013 ◽  
Vol 20 (6) ◽  
pp. 403-405 ◽  
Author(s):  
Dhanjit Litt ◽  
Sumeet Gandhi ◽  
Sacha Bhinder ◽  
Maurice Blitz ◽  
Kieran McIntyre

Pulmonary sequestration is described as a dysplastic mass of lung tissue that lacks communication with the tracheobronchial tree and receives systemic rather than pulmonary arterial blood supply. Two distinct classifications, intralobar and extralobar, have been described. The present article discusses the etiology, clinical and radiographic features of pulmonary sequestration as well as the management of this condition when it is discovered incidentally.


2017 ◽  
Vol 2 (1) ◽  

Intralobar sequestration accounts for 75% of pulmonary sequestrations. It is characterized by the presence of nonfunctional parenchymal lung tissue, receiving systemic arterial blood supply. We conducted a retrospective medical records review of all patients evaluated and treated in our pulmonary department of military hospital of Tunisia with diagnosis of PS from January 2007 through December 2015. Among them, we report 5 cases of intralobar pulmonary sequestrations operated. There are three women and two men; the mean age is 27.6 years. The sequestration was intralobar in all cases. Clinical presentations were chest pain and productive cough in three cases. Chest X-ray showed left basal opacity in three cases, bilateral basal reticulonodular opacities in one case and round hydric opacity in the right lower lobe in one other case. Computed tomography was performed and revealed an aberrant systemic artery born from the lateral side of aorta supplying a left lower lobe sequestration in four cases and a right lower lobe mass in only one case. The confirmation was operative in all cases and histologic only in three cases. All patients were treated by lobectomy. Only one case presented with a pulmonary sequestration combined with tuberculosis and he was treated firstly by antituberculous chemotherapy. The results were excellent with a favorable clinical course and the mortality was nil.


2011 ◽  
Vol 19 (6) ◽  
pp. 433-435 ◽  
Author(s):  
Lukman Lawal ◽  
Dimitrios Mikroulis ◽  
Savvas Eleftheriadis ◽  
Panagiotis Karros ◽  
Ioannis Bougioukas ◽  
...  

A 67-year-old male smoker presented with hemoptysis and recurrent pneumonia. Chest computed tomography showed an emphysematous cyst and air-fluid level cavities in the left lower lobe. A left lower lobectomy was performed. The intraoperative finding was intralobar sequestration. Histopathology revealed adenocarcinoma within the sequestrated lobe. Only 8 cases of lung cancer and sequestration have been reported since 1963.


1987 ◽  
Vol 62 (6) ◽  
pp. 2283-2287 ◽  
Author(s):  
N. B. Charan ◽  
G. M. Turk ◽  
J. Czartolomny ◽  
T. Andreazuk

We studied the systemic arterial blood supply to the trachea and lung in adult sheep. After anesthesia, sheep were exsanguinated and then studied by intra-arterial injection of one of the following materials: saline containing dyes of various colors (n = 24), Microfil (n = 8), or Batson's solution (n = 6). The systemic blood supply to the cervical trachea originated from the two common carotid arteries via three to four small branches (rami tracheales cervicales) on each side. A segment of the thoracic trachea between the thoracic inlet and the origin of the tracheal bronchus (bronchus trachealis) and the bronchial tree of the right cranial lobe (lobus cranialis dexter) were supplied by the tracheal bronchial branch (ramus bronchalis trachealis), which originated from the brachiocephalic trunk (truncus brachiocephalicus). A portion of thoracic trachea between the origin of the tracheal bronchus and the tracheal carina was supplied by the thoracic tracheal branch (ramus trachealis thoracica), arising from the bronchoesophageal artery (arteria bronchoesophagea) or directly from the thoracic aorta. The bronchial branch (ramus bronchalis) originated from the bronchoesophageal artery, and its branches supplied the remainder of the bronchial tree. At 120 cmH2O pressure (n = 8), the bronchial branch contributed approximately 50% and the other two approximately 25% each of the total tracheobronchial blood flow. These three branches also supplied the visceral pleura. Additionally, several small vessels (rami pleurales pulmonales) originated from the esophageal branch (ramus esophagea) of the bronchoesophageal artery, traversed the pulmonary ligaments, and supplied the visceral pleura.


Angiology ◽  
1989 ◽  
Vol 40 (9) ◽  
pp. 849-853
Author(s):  
Daniela Lax ◽  
Fouad Butto ◽  
Stanley A. Leonard ◽  
W. Steves Ring ◽  
Ann Dunnigan

2018 ◽  
Vol 41 (3) ◽  
pp. 343-345 ◽  
Author(s):  
Vito De Blasi ◽  
Silviu-Tiberiu Makkai-Popa ◽  
Luca Arru ◽  
Patrick Pessaux ◽  
Juan Santiago Azagra

2021 ◽  
Vol 10 ◽  
pp. 15
Author(s):  
Elisa Negri ◽  
Noemi Cantone ◽  
Elisa Severi ◽  
Gilda Belli ◽  
Francesca Tocchioni ◽  
...  

Background: Association between pulmonary sequestration and diaphragmatic hernia is well known. Extralobar sequestrations are masses of the non-functioning lung, surrounded by separate pleura, without bronchial communication, and with a systemic arterial blood supply. They may be placed in the thorax, within the diaphragm, or rarely in a sub-diaphragmatic position. Case Series: We present three cases of extra-lobar extra-thoracic pulmonary sequestrations associated with different types of diaphragmatic defects.  In none of the three cases, the diaphragmatic defect was detected prenatally. Conclusion: Pulmonary sequestration may be involved in the embryological origin of the diaphragmatic defect. Simultaneously, it acts as an anatomical barrier and prevents the herniation of the abdominal content into the thorax. If extralobar pulmonary sequestration is diagnosed prenatally, a coexistent diaphragmatic hernia should always be considered.


Author(s):  
Gulen Sezer Alptekin Erkul ◽  
Sinan Erkul ◽  
Ali İhsan Parlar ◽  
Ahmet Çekirdekçi

Abstract Pulmonary sequestration is defined as nonfunctioning lung tissue that is not in normal continuity with the tracheobronchial tree and that has a systemic arterial blood supply. Herein, we aimed to present a case of a 34-year-old male patient who had massive left-sided haemothorax on admission due to a giant intralobar pulmonary sequestration. An emergent repair was performed under cardiopulmonary bypass with axillofemoral cannulation.


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