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Published on: March 10, 2023
[Lung sequestration as an accidental finding in adulthood. Surgical therapy]
A Vernerová1, Z Konopa, P Horazd'ovský
1Chirurgická klinika 1. LF UK a Fakultní Thomayerovy nemocnice s poliklinikou, Praha 4 - Krc.
Summary
Pulmonary sequestration, an accidental lung finding, was diagnosed in three patients using standard and CT angiography imaging. Surgical resection, including artery ligation, successfully treated the condition with no postoperative complications.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Pulmonary sequestration is a rare congenital lung malformation.
- Diagnosis often relies on advanced imaging techniques.
- Surgical intervention is typically indicated for symptomatic or incidentally discovered cases.
Observation:
- Three adult patients incidentally found to have pulmonary sequestration were evaluated.
- Standard pneumology examinations included chest X-ray, bronchoscopy, spirometry, and chest CT.
- High suspicion from CT scans prompted CT angiography for definitive diagnosis.
Findings:
- All three patients underwent surgical treatment for pulmonary sequestration.
- The surgical procedure involved ligation of the anomalous feeding artery and resection of the affected lung segment.
- Postoperative recovery was uneventful, with no reported complications.
Implications:
- This case series highlights the importance of recognizing pulmonary sequestration, even when incidentally discovered.
- Multimodality imaging, including CT angiography, is crucial for accurate diagnosis.
- Surgical resection remains an effective treatment for pulmonary sequestration, ensuring favorable outcomes.