Distribution, diagnosis, and treatment of pulmonary sequestration: Report of 208 cases

Zhang, Na; Zeng, Qi; Chen, Chenghao; Yu, Jie; Zhang, Xu

doi:10.1016/j.jpedsurg.2018.08.054

Cited by 80 publications

(113 citation statements)

References 9 publications

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“…Enhanced chest CT can clearly show aberrant feeding arteries in a noninvasive manner and has thus become the preferred examination for PS; it can also reveal the abnormal drainage veins. Magnetic resonance imaging can detect the relationship between the lesion and the aberrant feeding arteries of the systemic circulation without the use of contrast agents; however, it is less useful than enhanced CT in revealing the pathologic features of PS (14,15). In our series, six of the patients were evaluated with CTA, one patient was evaluated with MRA in the preoperative period.…”

Section: Discussionmentioning

confidence: 89%

“…In our series, six of the patients were evaluated with CTA, one patient was evaluated with MRA in the preoperative period. It is stated in literature that anomalous systemic arterial supplies came from the descending thoracic aorta (72%); the abdominal aorta, celiac axis, or splenic artery (21%); the intercostal artery (3%); and rarely the subclavian, left gastric, superior mesenteric, phrenic, and renal arteries (and their branches) or via the pericardium and coronary artery (14,16). In our series, as it is very rare in the literature, one patient (3.2%) with ELS had systemic blood supply originating from left subclavian artery (Figure 1), and the rest of the patients (96.8%) had systemic blood supply originated from the descending aorta ( Figure 2).…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary sequestrations: experience of 31 patients

Sapmaz¹,

İnan²,

Işık³

et al. 2019

Gulhane Med J

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Aims:Pulmonary sequestration (PS) is a rare congenital lung malformation. It is characterized by a nonfunctional pulmonary tissue that have no relation to the bronchial system. Case series are rare due to low incidence of pulmonary sequestration. In this study, we aim to analyze the presentation, demographics, diagnostic procedures, location, type and treatment of PS in our institution over 12-year period. Methods:We retrospectively evaluated medical records of pathologically proved PS from January 2003 through December 2015 in our institution. Thirty-one patients were included in the study. Demographics, clinical presentation, diagnostic imaging, location, type of sequestration, type of surgery were collected. Results:Of 31 patients, 3 patients (9.6%) were female and 28 patients were (90.3%) male. Average age was 24.6 years. Twenty-four (77%) patients had described symptoms. Chest X-ray scanning was performed to all patients as the first imaging modality. Of the 15 patients (48.4%) had intralobar sequestration and 16 patients (51.6%) had extralobar sequestration. Extralobar sequestrations were more common (55.1%). Lower lobectomy in 13 patients, segmentectomy in 2 intralobar sequestration patients, and simple mass excision in all extralobar sequestration patients (16 patients) were performed as surgical procedure. Six patients had postoperative complications: prolonged air leak in 4 patients, pneumonia in 2 patients. Conclusions:It has similar appearance with many diseases of lung with traditional imaging methods and cause difficulties in diagnosis. Proving the presence of a feeding systemic artery with angiographic imaging is essential for definitive diagnosis. The recommended optimal treatment for pulmonary sequestration is resection of the sequestered tissue by segment or lobar resection.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Pulmonary sequestrations: experience of 31 patients

Sapmaz¹,

İnan²,

Işık³

et al. 2019

Gulhane Med J

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“… [1] Contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) is the main technique for the diagnosis of PS; moreover, a timely surgical resection of the sequestrated lobe by is the major treatment of choice. [2] To our knowledge, PS presenting with elevated tumor biomarkers is uncommon.…”

Section: Introductionmentioning

confidence: 95%

Extralobar pulmonary sequestration with elevated serum neuron-specific enolase

et al. 2020

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Rationale: Pulmonary sequestration (PS) presenting with elevated serum tumor markers is rare, and it might be misdiagnosed as malignancy. Patient concerns: A 26-year-old asymptomatic male patient was admitted because the x-ray showed an intrathoracic lesion. Meanwhile, the serum neuron-specific enolase (NSE) was elevated. Three-dimensional computed tomography angiography revealed an isolated feeding vessel arising from the aorta. Diagnoses: Extralobular PS was confirmed by computed tomography angiography and postoperative pathological staining. Interventions: Two-port thoracoscopic resection of the sequestrated lobe was performed. Outcomes: The serum NSE decreased to within the normal range and persisted during the follow up of 10 months. Lessons: A thorough work-up should be considered for the PS patients presenting with abnormal serum NSE. Detailed knowledge regarding the relationship between NSE and PS necessitates further studies.

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“…Se denomina extralobar (SPE) cuando tiene su propia pleura visceral y es intralobar (SPI) si comparte la pleura del pulmón adyacente 2-4 . El primero drena generalmente por las venas ácigos, hemiácigos o cava hacia la aurícula derecha; el segundo, por las venas pulmonares hacia la aurícula izquierda 5 .…”

Section: Introductionunclassified

Secuestro Pulmonar. A propósito de un caso.

Castillo¹,

Flores

Rivera

2020

Rev. Cirugia

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Introducción: El secuestro pulmonar es un segmento anormal de tejido pulmonar sin comunicación con el árbol traqueobronquial e irrigado por una arteria aberrante de origen sistémico. El secuestro pulmonar puede ser intralobar o extralobar. Caso Clínico: Presentamos el caso de un neonato con dificultad respiratoria debido a secuestro pulmonar. El tratamiento quirúrgico consiste en la resección del segmento pulmonar con la ligadura y corte de su arteria. Se describe el manejo realizado y la revisión de la literatura indexada.

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Distribution, diagnosis, and treatment of pulmonary sequestration: Report of 208 cases

Cited by 80 publications

References 9 publications

Pulmonary sequestrations: experience of 31 patients

Pulmonary sequestrations: experience of 31 patients

Extralobar pulmonary sequestration with elevated serum neuron-specific enolase

Secuestro Pulmonar. A propósito de un caso.

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