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[Pulmonary sequestration (author's transl)].

E Hammer, H Wendler, G Gypser

    Klinische Padiatrie
    |May 1, 1978
    PubMed
    Summary
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    Pulmonary sequestration, a rare lung malformation, involves abnormal tissue with aberrant blood supply. Diagnosis requires thoracic aortography, with surgical resection as the recommended treatment.

    Area of Science:

    • Medicine
    • Pulmonology
    • Radiology

    Background:

    • Pulmonary sequestration is a rare congenital lung malformation.
    • It involves lung tissue with abnormal vascular supply, often from the aorta.
    • It can be intralobar or extralobar, collectively termed congenital bronchopulmonary foregut malformation.

    Purpose of the Study:

    • To report two cases of bilateral intralobar pulmonary sequestration.
    • To highlight the clinical features and diagnostic challenges of this condition.
    • To emphasize the importance of thoracic aortography in diagnosis and surgical planning.

    Main Methods:

    • Surgical confirmation of bilateral intralobar pulmonary sequestrations in two patients.
    • Review of clinical presentations, including recurrent respiratory infections.

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  • Thoracic aortography as the primary diagnostic imaging modality.

    • Main Results:

    • Patients presented with recurrent respiratory infections, cough, fever, and purulent sputum.
    • Nonspecific alterations were noted on X-rays; chronic lower lobe changes suggested sequestration.
    • Thoracic aortography successfully identified the anomalous blood supply.

    Conclusions:

    • Bilateral intralobar pulmonary sequestration is a rare but significant condition.
    • Early recognition of chronic lower lobe changes is crucial for diagnosis.
    • Thoracic aortography is essential for preoperative diagnosis, guiding surgical resection (segmental resection or lobectomy).