Intralobar sequestration: radiologic-pathologic correlation.

Frazier, Aletta Ann; Christenson, M.L. Rosado de; Stocker, J. Thomas; Templeton, Philip A.

doi:10.1148/radiographics.17.3.9153708

Cited by 161 publications

(117 citation statements)

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“…In the literature; bilateral intralobar sequestration, concomitant intralobar and extralobar sequestration, neonatal congestive heart failure as a result of intralobar sequestration, association of bronchogenic cyst with intralobar sequestration were reported, and it was clear that the systemic arterial blood supply was an embryologic developmental anomaly. 7) In our case, there was an intralobar pulmonary sequestration that received its arterial blood supply from two different and away from each other origin (to our knowledge this is the first case which gets its blood supply from the arcus aorta and celiac trunk), and in our opinion, this supports the hypothesis of the congenital origin of the disease. Typically, there is a history of coughing and mucopurulent sputum in intrapulmonary sequestration cases in early adult life, and there are recurrent pneumonia attacks, resulting from pyogenic bacterias.…”

Section: Discussionsupporting

confidence: 83%

“…Typically, there is a history of coughing and mucopurulent sputum in intrapulmonary sequestration cases in early adult life, and there are recurrent pneumonia attacks, resulting from pyogenic bacterias. 7) Savic et al reported that more than 50% of the cases were symptomatic after the second decade and 15% cases were asymptomatic. 1) Minor hemoptysis is a frequent complaint; however, massive hemoptysis, which threatens life, was also reported.…”

Section: Discussionmentioning

confidence: 99%

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Intralober Pulmonary Sequestration with Arterial Supply from Two Different Origins: A Case Report

Erden

Yetim

Balcı

et al. 2012

ATCS

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Pulmonary sequestration is a rare anomaly, which does not have a connection with the bronchial system and gets its blood supply, generally, from the aorta or its branches. Anatomically, two different forms were described: intralobar and extralobar. Although 74% of intralobar pulmonary sequestrations get their blood supply from the descending thoracic aorta, they may get their blood supply from different arteries. Furthermore, there is more than one arterial anomaly in 14.8% of cases. We report an intralobar pulmonary sequestration, in which arterial blood supply is from two different origins (Arcus aorta and celiac trunk). To the best of our knowledge, this is the first case in the literature.Keywords: congenital abnormalities, bronchopulmonary sequestration, pneumonectomy questration shares the same pleura with normal lung tissue, but the extralobar form is separated from normal lung tissue with its own pleura. Intralobar pulmonary sequestration is more common than the extralobar form, and it affects the posterior basal segments of lower lobes and involves the left lung inferior lobe more frequently. Venous drainage in pulmonary sequestration is provided by pulmonary veins, in 95% of the cases. It gets its arterial blood supply from the descending thoracic artery, in 74%, and from the abdominal aorta, in 19%, of cases. It may rarely receive its blood supply from intercostal, subclavian, innominate, internal thoracic, pericardiophrenic, celiac, splenic arteries. Furthermore in 14,8% of cases arterial anomaly is more than one.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Intralober Pulmonary Sequestration with Arterial Supply from Two Different Origins: A Case Report

Erden

Yetim

Balcı

et al. 2012

ATCS

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“…Atherosclerotic changes are common in the anomalous artery in ILS, even in young patients. 6 The pulmonary venous drainage is predominantly to the left atrium in 95% of cases. 5 If the drainage is to the system veins (4.25% of cases), it occurs primarily to the inferior vena cava and to the azygos vein, as in this patient.…”

Section: Denouement and Discussionmentioning

confidence: 99%

Congenital intralobar pulmonary sequestration with cystic adenomatoid malformation

Herman

Siegel

2009

J Perinatol

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Case presentation A 3000 g infant was born at 39 weeks gestation to a gravida 2, para 2 mother after a pregnancy complicated by an abnormal fetal sonogram that was reported to demonstrate a large cystic thoracic mass. The baby was delivered by elective repeat C-section and had Apgar scores of 8 at 1 min and 9 at 5 min. The infant was not in distress. An initial plain chest radiograph (Figure 1), abdominalthoracic sonogram ( Figure 2) and a multidetector chest computed tomography (CT) and CT angiogram ( Figure 3) were then performed. Denouement and discussionThe chest radiograph shows subtle lucency in the left lower lobe and hyperexpanded left lung. The sonogram showed an echogenic mass with feeding artery. CT confirmed the presence of an intrapulmonary, hypervascular cystic and solid mass in the medial posterior left lower lobe. The lesion receives arterial blood supply from an anomalous vessel directly arising from the thoracic aorta and has drainage through an anomalous vein into the azygos vein. The air-filled cystic component of the lesion is peripherally located and at the interface with the more normal lung. The remainder of the lesion is not aerated, but is surrounded by normally aerated left lower lobe, medially, laterally and superiorly. Because of the risk of infection and malignant degeneration, which is associated with the presumed cystic adenomatoid elements in this lesion, the lesion was resected. Surgical resection demonstrated a cystic and solid mass in the left lower lobe with blood supply from a 1-cm diameter artery arising directly from the thoracic aorta with venous drainage into the azygos vein. This complex mass was within the left lower lobe and within the visceral pleural. Pathological examination of the specimen confirmed a sequestration and associated congenital cystic adenomatoid malformation with intermediate-type cysts between types 1 and 2.Intralobar sequestration (ILS) refers to nonfunctioning lung tissue with anomalous arterial supply from the aorta, venous

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“…Postnatal tanıda ise renkli doppler, göğüs radyografisi, spiral toraks BT anjiogram, toraks MR anjiogram, angiografi (nadiren gerekir) ve baryumlu grafi (gastrointestinal sistemle ilişki) kullanılabilir. Radyolojik olarak düz grafilerde paravertebral sulkusta pnömonik görüntü veya şekilsiz yoğun kitle, sekestre bölgede kistik değişiklikler, bronşa açılım varsa hava-sıvı seviyeli kistler veya abse formasyonu izlenebilir [5]. Bütün tanı araçları-na rağmen olguların bir kısmı intraoperatif olarak tanınır-lar.…”

Section: Discussionunclassified

Intralobar Pulmonary Sequestration: A Case Report

Şanlı¹,

Işık²,

Arslan³

et al. 2012

Tur Toraks Der

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Pulmonary sequestration is an embryonic, and radyological and histopathological cystic lung tissue that is nonfunctional with systemic arterial vascularization and unconnected to normal tracheaobronchial system. Early surgical intervention should be performed in order to protect lung parenchyma and to prevent possible complications and infections in pulmonary sequestration cases. Attentive preoperative imaging study and planning should be done. We present an uncommon case with typical intralobar pulmonary sequestration located in the left lower lobe. ( Ekstralober (ELS) ve intralobar sekestrasyon (İLS) olarak iki tipte bulunur. Nadiren ikisi birlikte olabilir. Sekestrasyonun her iki tipinde de arteryel destek sistemiktir, fakat venöz drenaj tipe göre değişir. Arter, genellikle torasik veya abdominal aortadan (diafragmayı penetre eder) doğar. Olguların %20'sinde multipl arteryel beslenme söz konusudur.Kliniğimizde sol alt lobda yerleşim gösteren intralober sekestrasyon olgusunu, lezyonun nadir görülmesi ve radyolojik/operatif tipik görüntü nedeniyle sekestrasyona ait literatür bilgilerini hatırlatarak sunduk. OLGUKırk iki yaşındaki erkek olgu, sırt ağrısı, nefes darlığı, terleme yakınmaları nedeniyle hastanemiz Göğüs Hastalıkları kliniğince yatırıldı. Altı aydır 1 paket/gün sigara içme öyküsü mevcuttu. Yakınmaları 2 yıldır mevcut olan ve öyküde çocukluk yıllarına ait bir sorun tanımlama-yan olgu, 5 yıl önce geçirmiş olduğu pnömoniyi tanımla-dı. Fizik muayenede sol akciğer bazalinde ronflan ralleri dışında patolojik bulgu saptanmadı. Laboratuvar incelemelerinde anormallik yoktu. Solunum fonksiyon testlerinde FVC 3.71 lt (%100), FEV 1 3.06 lt (%98) ve FEV 1 /FVC 82 olarak saptandı. Arteryel kan gazları analizinde (oda havasında) pO 2 : 99.0 mmHg, pCO 2 : 39.8 mmHg, pH: 7.34 ve SO 2 : %96.9 idi.Göğüs radyografisinde alt lob medialde kistik görüntü-lerin eşlik ettiği konsolide saha görünümü vardı. Toraksın spiral bilgisayarlı tomografisinde (BT) (Brilliance 6, Philips Medical Systems, Cleveland, Ohio), sol akciğer alt lob paravertebral alan komşuluğunda yerleşen, komşu parankim alanlarında yer yer konsolidasyon alanları ve nodüler 38

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Intralobar sequestration: radiologic-pathologic correlation.

Cited by 161 publications

References 0 publications

Intralober Pulmonary Sequestration with Arterial Supply from Two Different Origins: A Case Report

Intralober Pulmonary Sequestration with Arterial Supply from Two Different Origins: A Case Report

Congenital intralobar pulmonary sequestration with cystic adenomatoid malformation

Intralobar Pulmonary Sequestration: A Case Report

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