Extralobar sequestration with a pulmonary arterial feeding vessel

Nakamura, Daisuke; Makiuchi, Akiko; Itagaki, Hiroko

doi:10.1007/s11748-020-01443-x

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…We observed 2 patients with sequestrations receiving blood supply from the pulmonary circulation, one from an anomalous branch of the coeliac axis and another from an accessory artery within the inferior pulmonary ligament, and all samples histologically confirmed PS. Similarly, other recent case series have presented PS receiving blood supply from the coeliac trunk, subclavian artery or pulmonary artery [ 9 , 10 ]. Given the increasing frequency of varying, and in some cases multiple, blood supply, perhaps, the definition of PS receiving blood supply from an aberrant branch of the aorta [ 11 ] may need reconsidering.…”

Section: Discussionmentioning

confidence: 80%

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The diagnosis and surgical management of pulmonary sequestration in adults: a case series from a single centre in the UK

Asif,

Lilley,

Howard-Walker

et al. 2023

Indian J Thorac Cardiovasc Surg

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Pulmonary sequestration (PS) is a rare congenital malformation where extrapulmonary lung tissue receives systemic blood supply from an anomalous branch directly from the thoracic or abdominal aorta. Whilst non-malignant, it can often present with similar symptoms as lung cancer. We present a retrospective review of 8 consecutive adult patients undergoing surgical management for PS within a single centre in the UK. Of our cohort, 62.5% had never smoked. PS in the right lung was seen in 62.5% of cases. Anomalous branches of the pulmonary artery, pulmonary vein or coeliac axis supplied 37.5% of the PS seen in our cohort, and 12.5% did not have a radiologically identifiable blood supply. Techniques varied from thoracotomy (n = 4), video-assisted thoracoscopic surgery (VATS) (n = 3) to robotic resection (n = 1) with no intra-operative or post-operative complications reported within hospital. The mean length of stay was 2 days. The post-operative mortality rate was 12.5%; one patient had died following the robotic resection of the mass of pneumonia in the local district hospital 26 days post-operatively after being discharged. No other complications nor recurrence was recorded over the follow-up period. Where pulmonary masses receive blood supply from anomalous branches of the pulmonary vein and coeliac axis, diagnoses of PS should be considered. The clinical feasibility of discharge in 2 days with no symptom recurrence should undergo further investigation with a larger sample size.

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Section: Discussionmentioning

confidence: 80%

“…The average length of stay in our cohort was 2 days with no concerns on follow-up. In other case series, the mean length of stay has been quoted as between 4 and 6 days [ 5 , 9 , 10 ]. This could be explained with our patient cohort having a younger mean age and with less comorbidities, therefore allowing for a swift recovery.…”

Section: Discussionmentioning

confidence: 99%

The diagnosis and surgical management of pulmonary sequestration in adults: a case series from a single centre in the UK

Asif,

Lilley,

Howard-Walker

et al. 2023

Indian J Thorac Cardiovasc Surg

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Pulmonary Sequestration with Torsion in Children: A Case Report and Literature Review

杨

2024

ACM

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A case of adult extralobar pulmonary sequestration showing continuity with pulmonary artery and vein

Kaku

Masumoto

Yoden

et al. 2023

The Journal of the Japanese Association for Chest Surgery

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A 50-year-old woman was incidentally found to have a left lung mass 11 years ago. She was diagnosed with pleural effusion, because the mass shadow was between the lobes and localization of the mass had changed. An abnormal shadow was discovered on a plain chest radiograph during a health checkup. Chest computed tomography (CT) revealed a mass shadow with calcification in the left pulmonary lingual segment. As a solitary fibrous tumor was suspected because of changes in localization of the mass, surgery was performed. The mass was a pedunculated lesion rooted at the pulmonary hilum and it showed no continuity with the normal lung. We found two blood vessels, each communicating with the superior pulmonary vein and pulmonary artery. These abnormal vessels were dissected collectively, and the mass was removed. The resected specimen showed some lung parenchyma. Based on the pathological and intraoperative findings, we diagnosed the patient with extralobar pulmonary sequestration (EPS). EPS with the pulmonary artery serving as the inflow artery and pulmonary vein serving as the return vein is extremely rare, and so we report it.

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Extralobar sequestration with a pulmonary arterial feeding vessel

Cited by 4 publications

References 8 publications

The diagnosis and surgical management of pulmonary sequestration in adults: a case series from a single centre in the UK

The diagnosis and surgical management of pulmonary sequestration in adults: a case series from a single centre in the UK

Pulmonary Sequestration with Torsion in Children: A Case Report and Literature Review

A case of adult extralobar pulmonary sequestration showing continuity with pulmonary artery and vein

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