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Related Experiment Videos

Pulmonary sequestration in children: a twenty-five year experience

W L Buntain, M M Woolley, G H Mahour

    Surgery
    |April 1, 1977
    PubMed
    Summary

    Pulmonary sequestration is a rare congenital lung malformation where nonfunctioning lung tissue lacks normal airway connection. Arteriography is crucial for diagnosis and locating abnormal blood vessels before surgery.

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    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Congenital Malformations

    Background:

    • Pulmonary sequestration is a congenital lung anomaly characterized by nonfunctioning lung tissue.
    • This sequestered tissue lacks normal communication with the tracheobronchial tree.
    • It often receives an anomalous systemic blood supply.

    Purpose of the Study:

    • To analyze cases of pulmonary sequestration in children.
    • To highlight diagnostic challenges and the role of arteriography.
    • To emphasize the importance of preoperative localization of aberrant vessels.

    Main Methods:

    • Retrospective review of 15 pediatric cases (11 boys, 4 girls) aged 1 day to 14 years.
    • Analysis of diagnostic methods including roentgenography and arteriography.

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  • Surgical exploration as a diagnostic and therapeutic approach.

    • Main Results:

    • Ten cases of extralobar and five of intralobar pulmonary sequestration were identified.
    • Chest roentgenography suggested the diagnosis but was not conclusive.
    • Arteriography provided definitive diagnosis and crucial preoperative localization of anomalous vessels.

    Conclusions:

    • Pulmonary sequestration requires definitive diagnosis through arteriography and/or surgical exploration.
    • Arteriography is strongly advocated for both diagnostic confirmation and precise localization of aberrant vasculature.
    • Accurate preoperative localization by arteriography is vital for surgical planning and minimizing operative risks.