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Intrapericardial extralobar pulmonary sequestration presenting as a prenatal intrathoracic mass
I de Vreede1, C M Bilardo, R R van Rijn
1Department of Paediatrics, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, 1105, AZ, Amsterdam, The Netherlands. i.devreede@amc.uva.nl
Pediatric Cardiology
|March 7, 2008
Summary
This case report details the earliest detection of an extralobar pulmonary sequestration diagnosed in utero via ultrasound. The infant remained asymptomatic, with the mass successfully resected after birth.
Area of Science:
- Medical diagnosis
- Pediatric surgery
- Fetal medicine
Background:
- Extralobar pulmonary sequestration (EPS) is a rare congenital lung malformation.
- Prenatal diagnosis of intrathoracic masses can be challenging.
- Early detection and intervention are crucial for favorable outcomes.
Observation:
- An intrathoracic mass was identified via ultrasound at 20 weeks gestation, persisting throughout pregnancy.
- Postnatally, the infant was asymptomatic, with echocardiography revealing an intrapericardial mass.
- The mass was surgically resected via sternotomy three weeks after birth.
Findings:
- Microscopic examination confirmed the diagnosis of extralobar pulmonary sequestration.
- This represents the earliest documented prenatal detection of this condition.
- A unique feeding vessel originating from the right pulmonary artery was identified.
Implications:
- This case highlights the feasibility of early prenatal diagnosis of EPS.
- It underscores the importance of advanced imaging in identifying congenital anomalies.
- The findings contribute to understanding the vascular supply of pulmonary sequestrations.
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