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Bilateral intralobar pulmonary sequestration: therapeutic implications.

F M Juettner, H H Pinter, G Lammer

    The Annals of Thoracic Surgery
    |June 1, 1987
    PubMed
    Summary
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    Bilateral intralobar pulmonary sequestration, a rare condition, was diagnosed in a young woman. Surgical resection of both affected lung areas revealed inflammation, even in the asymptomatic region.

    Area of Science:

    • Cardiothoracic Surgery
    • Pulmonary Medicine
    • Diagnostic Imaging

    Background:

    • Intralobar pulmonary sequestration is a congenital lung malformation where lung tissue lacks normal bronchial connections and receives anomalous arterial supply.
    • Bilateral involvement is exceptionally rare, posing unique diagnostic and therapeutic challenges.

    Observation:

    • A 27-year-old woman presented with suspected bilateral intralobar pulmonary sequestration in the lower lobes.
    • Computed tomography (CT) and arteriography confirmed the diagnosis.
    • One side of the sequestration was asymptomatic, while the other was symptomatic.

    Findings:

    • The patient underwent staged bilateral thoracotomies for resection of both sequestrated lung segments.
    • Histopathological examination revealed significant inflammation in both the symptomatic and asymptomatic sequestra.

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  • This case represents the sixth reported instance of bilateral intralobar pulmonary sequestration and the third documented bilateral resection.

    • Implications:

    • This case highlights the importance of thorough investigation even in asymptomatic contralateral lung segments in cases of pulmonary sequestration.
    • Bilateral resection, though complex, can be a necessary treatment for symptomatic and potentially problematic asymptomatic sequestrations.
    • Further research into the pathogenesis and optimal management of bilateral pulmonary sequestration is warranted.