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[Intralobar pulmonary sequestration with multiple arterial blood supply]

J Uroz Tristán, S A Mogueya, D Poenaru

    Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
    |April 1, 1994
    PubMed
    Summary

    A pediatric case of recurrent pneumonia revealed anomalous systemic arterial supply to the left lower lobe, a condition known as intrapulmonary sequestration. Surgical resection confirmed the diagnosis.

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    Area of Science:

    • Pediatric Medicine
    • Thoracic Surgery
    • Diagnostic Imaging

    Background:

    • Recurrent pneumonia in children can indicate underlying congenital anomalies.
    • Pulmonary sequestration, a rare condition, involves non-functional lung tissue with abnormal blood supply.

    Purpose of the Study:

    • To report a pediatric case of intrapulmonary sequestration.
    • To highlight diagnostic methods and surgical management.

    Main Methods:

    • Chest X-ray revealed anomalous vascularity.
    • Digital Intravenous Angiography by Subtraction (DIVAS) and aortogram identified the anomalous systemic arterial supply.
    • Surgical lobectomy was performed.

    Main Results:

    • A 4-year-old boy presented with recurrent left basal lobe pneumonia.

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  • Anomalous systemic arterial supply from 6 vessels originating from the thoracic aorta to the left lower lobe was identified.
  • Pathological examination confirmed intrapulmonary sequestration.

    • Conclusions:

    • Intrapulmonary sequestration should be considered in pediatric cases of recurrent pneumonia with suspected vascular anomalies.
    • DIVAS and aortography are crucial for diagnosis.
    • Surgical resection is an effective treatment.