Pulmonary sequestrations: Prenatal ultrasound diagnosis, treatment, and outcome

Baudin, François; Horta-Geraud, P; Donato, Luigi; Sauvage, P

doi:10.1016/s0022-3468(98)90095-1

Cited by 91 publications

(54 citation statements)

References 22 publications

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“…29 30 Sequestration antenatally is known to cause mediastinal deviation. Mediastinal deviation was associated with polyhydramnios in 60% of cases, and polyhydramnios was a major factor leading to poor prognosis and fetal morbidity 22. Persistent postnatal pulmonary sequestration may present with recurrent infection or cardiac failure later in childhood.…”

Section: Discussionmentioning

confidence: 99%

Management of antenatally diagnosed pulmonary sequestration associated with congenital cystic adenomatoid malformation

Samuel

Burge

1999

Thorax

104

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Background-Sequestration with associated cystic adenomatoid malformation is rare. A study was undertaken to determine whether pulmonary sequestration associated with congenital cystic adenomatoid malformation has a more favourable natural history than that of sequestration without associated cystic adenomatoid malformation. Methods-An outline of the postnatal work up leading to the management of extralobar or intralobar pulmonary sequestration with congenital cystic adenomatoid malformation diagnosed antenatally as pulmonary malformation is presented and the indications for surgical intervention are discussed. Results-In five infants in whom an antenatal ultrasound scan had detected a congenital lung malformation at 18-19 weeks gestation a final diagnosis of extralobar or intralobar pulmonary sequestration with congenital cystic adenomatoid malformation was made postnatally. Postnatal ultrasound and computerised axial tomographic scans confirmed the diagnosis of sequestration by delineating anomalous vascular supply. Cystic changes were also observed in the basal area of the sequestration in all patients. Four children remained asymptomatic and one infant presented at 10 months of age with pneumonia. The mean age at surgical resection was 6.8 months (range 2-10). Histopathological examination confirmed intralobar pulmonary sequestration with associated Stocker type 2 congenital cystic adenomatoid malformation in two patients and extralobar pulmonary sequestration with associated Stocker type 2 congenital cystic adenomatoid malformation in three patients. The mean period of follow up was four years (range 1-8). The children remain well and are developing normally. Conclusions-The importance of seeking an anomalous blood supply in children with congenital lung lesions is emphasised. Pulmonary sequestration and congenital cystic adenomatoid malformation probably share a common embryogenesis despite diverse morphology. The natural history of antenatally diagnosed lung masses is variable. Early postnatal surgical resection of pulmonary sequestration with cystic adenomatoid malformation is recommended. Surgical excision should be conservative, sparing the normal lung parenchyma. (Thorax 1999;54:701-706)

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Section: Discussionmentioning

confidence: 99%

Management of antenatally diagnosed pulmonary sequestration associated with congenital cystic adenomatoid malformation

Samuel

Burge

1999

Thorax

104

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“…An aberrant arterial supply is occasionally seen in extralobar BPS with color Doppler US. 22 We were not able to demonstrate this finding on MRI in 4 cases of extralobar BPS.…”

Section: Thoraxmentioning

confidence: 63%

Fast Fetal Magnetic Resonance Imaging

Sandrasegaran¹,

Lall²,

Aisen³

et al. 2005

Journal of Computer Assisted Tomography

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Fetal magnetic resonance imaging (MRI) can be used as a problem-solving tool when ultrasonic findings are equivocal. The role of fetal MRI has increased as obstetricians become aware of its potential and in utero therapy for anomalies becomes increasingly sophisticated. In this pictorial essay, we present a wide range of anomalies diagnosed or confirmed using MRI and discuss findings that help in the differential diagnosis.

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“…The case that we have reported was best defined as ELS, but with various features of other entities. ELS is usually localized between the lower pulmonary lobe and the diaphragm, most commonly on the left side [1,2,3]. The sequestrations generally receive a systemic arterial supply from the descending thoracic aorta, but may rarely receive their arterial supply from other systemic arteries, including the subclavian artery, the innominate artery, intercostal arteries, the branches of the abdominal aorta and occasionally the pulmonary artery.…”

Section: Discussionmentioning

confidence: 99%

“…It is subdivided into intralobar and extralobar forms. The intralobar forms generally occur in the left lower lobes, while the extralobar types are usually located between the diaphragm and the lower lobe on the left side, with no obvious communication with the tracheobronchial tree [1,2,3]. Rare infradiaphragmatic, intraabdominal or intrapericardial locations have also been reported [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Extralobar Pulmonary Sequestration in the Right Upper Thoracic Region

Cserni

Józsa²,

Szőlősi³

et al. 2005

Respiration

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We present an extremely rare case of extralobar pulmonary sequestration in the right upper thoracic region, with a wide tracheal communication and a right subclavian arterial blood supply. The MRI scan suggested a bronchogenic cyst. Although preoperative color Doppler and angiography were not performed, successful resection was carried out. The histology indicated a diagnosis of extralobar pulmonary sequestration.

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Pulmonary sequestrations: Prenatal ultrasound diagnosis, treatment, and outcome

Cited by 91 publications

References 22 publications

Management of antenatally diagnosed pulmonary sequestration associated with congenital cystic adenomatoid malformation

Management of antenatally diagnosed pulmonary sequestration associated with congenital cystic adenomatoid malformation

Fast Fetal Magnetic Resonance Imaging

Extralobar Pulmonary Sequestration in the Right Upper Thoracic Region

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