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[Pryce type I intralobar pulmonary sequestration]

K Yuasa1, T Shimizu, Y Kobayashi

  • 1Thoracic and Cardiovascular Surgery, Kanazawa Medical University School of Medicine, Ishikawa, Japan.

Nihon Kyobu Shikkan Gakkai Zasshi
|January 1, 1996
PubMed
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Pulmonary sequestration, a rare lung condition, involves abnormal blood supply. This case highlights a rare instance of a 53-year-old woman diagnosed with Pryce type I pulmonary sequestration.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Pulmonary sequestration is a congenital lung malformation characterized by non-functional lung tissue with an anomalous systemic arterial supply.
  • Pryce type I pulmonary sequestration, the most common type, involves an intralobar sequestration with an artery arising from the descending thoracic aorta.

Observation:

  • A 53-year-old woman presented with an abnormal shadow on chest radiograph and hemoptysis.
  • Imaging revealed an anomalous artery originating from the descending aorta supplying the left lower lobe, with no pulmonary arterial supply to the affected segments.
  • Diagnosis of Pryce type I pulmonary sequestration was confirmed.

Findings:

  • Surgical intervention successfully identified and ligated the anomalous artery (13 mm diameter) originating from the descending aorta.

Related Experiment Videos

  • The affected left lower lobe was surgically removed (left lower lobectomy).
  • The patient experienced an uneventful postoperative recovery.
  • Implications:

    • This case represents the oldest woman surgically treated for pulmonary sequestration in Japan.
    • Data from 24 reported Japanese cases indicate pulmonary sequestration is rare, with a higher prevalence in males.
    • Surgical management of pulmonary sequestration, including anomalous artery ligation and resection, is effective, with maximal reported abnormal artery diameter of 18 mm.