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Pulmonary sequestration.

S P Mattila, P E Ketonen, K E Kyllönen

    Annales Chirurgiae Et Gynaecologiae Fenniae
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    This study reports on 31 surgically treated pulmonary sequestration cases, highlighting respiratory symptoms and preoperative diagnosis via aortogram. Most patients recovered well after surgery, with rare complications and novel findings like aspergillosis.

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    Area of Science:

    • Thoracic Surgery
    • Pulmonary Medicine
    • Diagnostic Imaging

    Background:

    • Pulmonary sequestration is a rare congenital lung malformation.
    • It often presents with non-specific respiratory symptoms, mimicking infections.
    • Accurate preoperative diagnosis is crucial for effective surgical planning.

    Purpose of the Study:

    • To review surgical outcomes for pulmonary sequestration.
    • To evaluate diagnostic modalities, particularly aortography.
    • To identify any novel associations or complications.

    Main Methods:

    • Retrospective analysis of 31 surgically treated pulmonary sequestration cases.
    • Review of clinical presentations, diagnostic methods (chest x-ray, aortogram), and surgical procedures.

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  • Microscopic examination of resected specimens.

    • Main Results:

    • 23 intralobar and 8 extralobar sequestrations were identified.
    • Respiratory tract infections were common presenting symptoms.
    • Aortography proved highly valuable for preoperative diagnosis.
    • Lobectomy was the most frequent surgical approach.
    • One mortality occurred due to surgical oversight; other recoveries were uneventful.
    • Aspergillosis was noted in one case, a previously undescribed association.

    Conclusions:

    • Surgical treatment of pulmonary sequestration yields good outcomes.
    • Aortography is essential for precise preoperative diagnosis.
    • Pulmonary sequestration can present with unusual complications and associations, such as aspergillosis.