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[Intralobar pulmonary sequestration].

J Vodicka1, V Spidlen, A Tauchman

  • 1Chirurgische Klinik der Medizinischen Fakultät der Karlsuniversität, Plzen, Czech Republic. vodicka@fnplzen.cz

Zentralblatt Fur Chirurgie
|December 12, 2003
PubMed
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Pulmonary sequestration, an abnormal lung tissue area, can be diagnosed and surgically treated with lobectomy. This study details two intralobar pulmonary sequestration cases, highlighting successful surgical outcomes.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Pulmonary sequestration is a rare congenital lung malformation.
  • It is characterized by non-functional lung tissue with an anomalous systemic arterial supply.
  • Two main types exist: extralobar (ELS) and intralobar (ILS) pulmonary sequestration.

Observation:

  • Two cases of intralobar pulmonary sequestration (ILS) were diagnosed and surgically treated in 2002.
  • Over 25 years, five cases (4 ILS, 1 ELS) were managed.
  • A 35-year-old male presented with recurrent infections, while a 21-year-old female had an asymptomatic incidental finding.

Findings:

  • Both sequestrations were located in the left lower lobe.
  • Anomalous arteries originated from the thoracic aorta.

Related Experiment Videos

  • Venous drainage varied: systemic via the azygos vein in the male and pulmonary veins in the female.
  • Diagnosis utilized angiography, CT, and multidetector CT angiography (MDCTA).

    • Implications:

    • Surgical resection via lobectomy is an effective treatment for pulmonary sequestration.
    • Early diagnosis and intervention lead to favorable postoperative outcomes.
    • Understanding variations in venous drainage is crucial for surgical planning.