How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion

Liu, Yü; Yu, Zehao; Yu, Pingwen; Ito, Atsushi; Gonzalez, Michel; Hirai, Kyoji; Polaczek, Mateusz; Liu, Hongxu

doi:10.21037/jtd-20-2059

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…DSA is the gold standard for the diagnosis of PS. Enhanced CT and CTA can clearly show aberrant feeding arteries, identify the initial site and shape of aberrant feeding arteries, and signi cantly reduce the risk of bleeding in the intraoperative blood vessels in the abnormal body circulation caused by insu cient preoperative evaluation [7,8]. For suspected patients with PS, enhanced CT and CTA can effectively reduce misdiagnosis and missed diagnosis of PS.…”

Section: Discussionmentioning

confidence: 99%

Aberrant Feeding Artery Mutilation Treatment of Pulmonary Sequestration: A Case Report

Liu

Han

Wang

et al. 2020

Preprint

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Background: Pulmonary sequestration (PS) is a rare congenital pulmonary pulmonary malformation. In this study, we reported a case of PS treated with aberrant feeding artery mutilation in our center.Case Presentation: A 29 –year-old female patient presented to our center in March 2020 due to repeated hemoptysis for more than 15 years, she received CTA examination which showed an aberrant feeding artery from the thoracic aorta into the left lower lobe of the lung and was therefore diagnosed with left lower lung pulmonary sequestration. Given that she complained with no infectious symptoms, she was treated with thoracoscopic feeding artery mutilation in June 2020 . She and experienced an uneventful postoperative course and was discharged 2 days postoperatively. On the postoperative follow-up of 4 months, thise patient’s physical condition was excellent and free of any symptoms such as hemoptysis or cough.Conclusion: Surgery is still the first choose for the treatment of PS. When pulmonary lesion is small-sized,for PS patients with non-infectious symptoms, aberrant feeding artery mutilation can be attempted as an alternative to intravascular technology for the treatment of PS. Future large studies are required to further verify its long-term efficacy and scope of application.

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Section: Discussionmentioning

confidence: 99%

Aberrant Feeding Artery Mutilation Treatment of Pulmonary Sequestration: A Case Report

Liu

Han

Wang

et al. 2020

Preprint

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VATS surgical anatomical resection of bronchopulmonary sequestration presenting as chest sepsis

Patel

Mangel

Perris

et al. 2022

J Cardiothorac Surg

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Background Bronchopulmonary sequestration (BPS) is a malformation of the lungs resulting in lung tissue lacking direct communication to the tracheobronchial tree. Most cases demonstrate systemic arterial blood supply from the descending thoracic aorta, the abdominal aorta, celiac axis or splenic artery and venous drainage via the pulmonary veins with occasional drainage into azygos vein. BPS is considered a childhood disease and accounts for 0.15–6.40% of congenital pulmonary malformations. BPS is divided into intralobar sequestrations (ILS) and extralobar sequestrations (ELS) with ILS accounting for 75% of all cases. Methods Here we present our 11-year experience of dealing with BPS; all cases presented with recurrent chest sepsis in young-late adulthood regardless of the type of pathological sequestration. The surgical technique employed was a minimally invasive video-assisted thoracoscopic anterior approach (VATS). Results Between May 2010 and September 2021, we have operated on nine adult patients with bronchopulmonary sequestration who presented late with symptoms of recurrent chest sepsis. Most patients in the cohort had lower lobe pathology, with a roughly even split between right and left sided pathology. Moreover, the majority were life-long never smokers and an equal preponderance in males and females. The majority were extralobar sequestrations (56%) with pathological features in keeping with extensive bronchopneumonia and bronchiectasis. There were no major intra-operative or indeed post-operative complications. Median length of stay was 3 days. Conclusions Dissection and division of the systemic feeding vessel was readily achievable through a successful anterior VATS approach, regardless of the type of sequestration and without the use of pre-operative coiling of embolization techniques. This approach gave excellent access to the hilar structures yet in this pathology, judicious and perhaps a lower threshold for open approach should be considered.

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瘤化した異常動脈を伴った肺底動脈大動脈起始症の1例

Namiki,

Yamamoto,

Shimizu

et al. 2024

The Journal of the Japanese Association for Chest Surgery

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How to optimize the treatment strategy for patients of pulmonary sequestration with an elevated risk of fatal hemorrhage during operation: case discussion

Cited by 3 publications

References 26 publications

Aberrant Feeding Artery Mutilation Treatment of Pulmonary Sequestration: A Case Report

Aberrant Feeding Artery Mutilation Treatment of Pulmonary Sequestration: A Case Report

VATS surgical anatomical resection of bronchopulmonary sequestration presenting as chest sepsis

瘤化した異常動脈を伴った肺底動脈大動脈起始症の1例

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