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Related Experiment Videos

[A case of Pryce type I intrapulmonary sequestration]

T Nomoto1, T Shindo, M Kitano

  • 1Department of Thoracic Surgery, Tenri Hospital, Nara, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|April 29, 1998
PubMed
Summary

This study details a case of intrapulmonary sequestration, a rare lung condition. Surgical removal was successful, highlighting the importance of early diagnosis for this vascular anomaly.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Pulmonary Medicine

Background:

  • Intrapulmonary sequestration is a congenital lung malformation.
  • It involves a segment of lung tissue with an abnormal systemic arterial supply.
  • Pryce type I is characterized by an aberrant artery from the descending thoracic aorta.

Observation:

  • A 20-year-old asymptomatic male presented with a vascular murmur and left lower lung shadow on X-ray.
  • Aortography confirmed an abnormal artery supplying the left basal segment, lacking pulmonary arterial supply.
  • Ventilation scintigraphy showed reduced left lower lobe ventilation; bronchogram revealed subtle bronchial tree thinning.

Findings:

  • Diagnosis of Pryce type I intrapulmonary sequestration was established.

Related Experiment Videos

  • Analysis of 31 Japanese cases revealed common features: vascular murmur, chest X-ray abnormalities (mass or increased vascularity).
  • The aberrant artery typically originates from the descending thoracic aorta, supplying the left basal segment.

    • Implications:

    • Pryce type I intrapulmonary sequestration can lead to hemoptysis and recurrent infections.
    • Surgical intervention, such as lobectomy, is indicated for symptomatic cases.
    • This case underscores the diagnostic utility of imaging and the efficacy of surgical management.