Complex extralobar sequestration in a 24-year-old woman

Arslanian, Anna; Leflour, Nicole; Hernigou, A.; Danel, Claire; Riquet, Marc

doi:10.1016/s0003-4975(03)01177-9

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Extralobar sequestration is enclosed completely in its own pleural sac. There are numerous differences between these two types including: 1) intralobar form is always drained by the pulmonary veins whilst extralobar disease is drained by the azygous or portal vein [2,10,11] ; 2) intralobar form is approximately equally distributed between sexes whilst extralobar disease is found more commonly in males (80% of cases, a male-to-female ratio of 4:1) [2,3,12] ; 3) intralobar sequestrations are not associated with other cardio-pulmonary anomalies, but extralobar sequestrations may be found in association with congenital anomalies, including congenital diaphragmatic hernia, cardiac malformations, congenital cystic adenomatoid malformation and gastrointestinal malformations [2,8,[12][13][14] ; 4) intralobar sequestration demonstrates no preferences for either lung whilst extralobar sequestration is found in the left lung in 80%-90% of cases [11,12,15] ; 5) the etiology of intralobar sequestration remains controversial, but extralobar sequestrations are commonly considered to be of congenital origin and are included in bronchopulmonary foregut malformations [8,10,15] ; 6) the extralobar form is most commonly diagnosed in the prenatal and neonatal periods, whereas the intralobar form is usually diagnosed in childhood [3,10,16] .…”

Section: Discussionmentioning

confidence: 99%

A case report of extralobar pulmonary sequestration in a dog

Kheirandish

Azizi

Alidadi

2012

Asian Pacific Journal of Tropical Biomedicine

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Section: Discussionmentioning

confidence: 99%

A case report of extralobar pulmonary sequestration in a dog

Kheirandish

Azizi

Alidadi

2012

Asian Pacific Journal of Tropical Biomedicine

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Atypical presentation of extralobar sequestration with absence of pericardium in an adult

Datta

Tambiah

Rankin

et al. 2006

The Journal of Thoracic and Cardiovascular Surgery

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failure, size of VSD, posterior/inferior locations, and residual VSD. 3 Management consists of VSD closure, coronary artery bypass grafting as needed, and aggressive postcardiotomy and end-organ support. Residual shunts are found in up to 40% of patients. Operative repair is associated with mortality greater than 60%, 4 which has prompted interest in percutaneous closure, but the role of these procedures is still undefined. 5 In our case, the implantation of a biVAD served as a bridge to recovery. By minimizing associated postoperative end-organ damage with cardiac support, we allowed for physiologic recovery so the residual VSD could be successfully closed and the impact of the massive myocardial infarction and associated heart failure could be minimized. Limitations include the need for multiple procedures (ie, device weaning/explant), aggressive anticoagulation in a high-risk patient, and meticulous follow-up.Right ventricular support is critical after the acute volume and pressure overload of a PI-VSD. Recovery may be unpredictable and prolonged, necessitating long-term biventricular support. Short-term univentricular options, such as intraaortic balloon pumps, extracorporeal membrane oxygenation, or left ventricular assist devices, are limited in right ventricle failure and residual shunting. A total artificial heart precludes native cardiac recovery and obligates transplantation; nevertheless, this may be an option with the appropriate resources and experience. ConclusionBiventricular mechanical support, as demonstrated in this complex case, should be considered a useful tool as a bridge to recovery in patients with PI-VSDs.

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Pulmonary Sequestration - Analysis of Diagnostic and Therapeutic Difficulties

Hauer¹,

Alchimowicz²,

Harazda³

et al. 2007

Polish Journal of Surgery

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The aim of the study was to review the clinical characteristics of operated patients with respect to pulmonary sequestration and analyze diagnostic and therapeutic problems connected with this anomaly. Material and methods. We performed a retrospective analysis of 23 patients operated on because of pulmonary sequestration between 1963 and 2004 in the Departments of Thoracic Surgery in Zakopane (10 patients) and Szczecin-Zdunowo (13 patients). Results. The study group comprised 8 men and 15 women and the mean age was 28 years. 15 patients (65.2%) presented with clinical symptoms such as coughing, fever and chest pain. Preoperatively, pulmonary sequestration was suspected in 5 patients. Amongst the remaining patients, the preoperative diagnosis was lung cancer (9 patients), metastasis from testicular neoplasms (n=1), emphysematous bullae (n=2), pulmonary cyst (n=4), bronchiectasis (n=1) and lung abscess (n=1). None of the patients were subjected to arteriography and 6 patients underwent contrast-enhanced computer tomography examination, although it did not lead to a proper diagnosis. We found 20 intralobar sequestrations and 3 extralobar sequestrations, which were situated above the diaphragm. There were 11 sequestrations on the right side and 12 on the left side. The operations performed included: lobectomy (14 patients), segmentectomy 1+2 (n=1), wedge resection (n=3), sequestrectomy (n=3), lower bilobectomy (n=1), and middle lobectomy (n=1). Blood supply from the thoracic aorta was found in 17 patients and the abdominal aorta in the remaining 6 patients. In 5 patients, the pulmonary sequestration was supplied by more than one artery. Complications included hemorrhage from supplying arteries in 8 patients and phrenic nerve palsy in one patient. One patient required mechanical ventilation after the operation. There was no further morbidity and mortality. Distant surgical results were good. Conclusions. 1. Pulmonary sequestration in adults is difficult to diagnose before the operation, even with a detailed computer tomography examination. 2. Intralobar sequestration is much more common (87%) than extralobar and is often situated in the basal segments with comparable incidence on the right and left sides. 3. The greatest danger during the operation is major bleeding from the supplying artery. 4. Prognosis after the operation is favorable.

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Complex extralobar sequestration in a 24-year-old woman

Cited by 3 publications

References 7 publications

A case report of extralobar pulmonary sequestration in a dog

A case report of extralobar pulmonary sequestration in a dog

Atypical presentation of extralobar sequestration with absence of pericardium in an adult

Pulmonary Sequestration - Analysis of Diagnostic and Therapeutic Difficulties

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