Intralobar sequestration in the middle-aged and elderly adult: recognition and radiographic evaluation

Petersen, G. Fr.; Martin, Ubaldo J.; Singhal, Arun; Criner, Gerard J.

doi:10.1016/s0022-5223(03)01297-2

Cited by 57 publications

(52 citation statements)

References 18 publications

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“…Intralobar sequestration has almost equal gender prevalence. [9] In the current study, distribution between the genders was equal as reported in literature.…”

Section: Discussionsupporting

confidence: 62%

“…In contrast to extralobar sequestration, intralobar sequestration is infrequently associated with other congenital abnormalities. [9] Halkic et al [10] stated that ILS often remains unrecognized until after the age of 20. The current study data support this statement with the mean age of 33.3±13.7 years (range 4 to 61 years) at diagnosis for ILS patients.…”

Section: Discussionmentioning

confidence: 99%

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Surgical approach in pulmonary sequestrations: An institutional experience with 32 cases

Özkan¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada, pulmoner sekestrasyonların cerrahi tedavisi hakkında deneyimlerimiz sunuldu. Ça lış ma pla nı: Pulmoner sekestrasyon nedeniyle Ocak 1987 -Aralık 2015 tarihleri arasında cerrahi rezeksiyon uygulanan toplam 32 hasta (16 erkek, 16 kadın; ort. yaş 32.7±13.4 yıl; dağılım 4-61 yıl) incelendi. Hastalar demografik özellikleri, semptomlar, tanı yöntemleri, pulmoner sekestrasyonun tipi, yerleşim yeri ve vasküler özellikleri, rezeksiyon tipi, komplikasyonlar ve sonuçlara göre değerlendirildi. Bul gu lar: Hastaların %87.5'inde intralober, %12.5'inde ekstralober sekestrasyon saptandı. Intralober sekestrasyon hastaların %89.3'ünde alt lob, %10.7'sinde üst lob yerleşimli idi. Bütün ekstralober sekestrasyonlar sol hemitoraksta olmak üzere; %75'i hemitoraks tabanı, %25'i ise apeks yerleşimli idi. Hastaların %53.1'ine lobektomi, %25'ine kama rezeksiyon, %12.5'ine kütle eksizyonu, %9.4'üne segmentektomi uygulandı. Ameliyat sonrası komplikasyonlar üç hastada uzamış hava kaçağı, iki hastada yara yeri enfeksiyonu ve bir hastada ampiyem olmak üzere hastaların %18.8'inde gelişti. Mortalite izlenmedi. Ortanca takip süresi 42 ay (dağılım 3-105 ay) idi ve hastaların asemptomatik kaldığı saptandı. So nuç: Pulmoner sekestrasyon benign seyirli olmasına rağmen ciddi komplikasyonları nedeni ile hastalar asemptomatik olsa da çıkarılmalıdır. Bilgisayarlı tomografik anjiyografi pulmoner sekestrasyonlara yaklaşımda cerraha yol gösteren iyi bir tanı aracıdır.Anah tar söz cük ler: Bilgisayarlı tomografik anjiyografi; pulmoner sekestrasyon; cerrahi. ABSTRACTBackground:This study aims to present our experiences on surgical treatment of pulmonary sequestrations. Methods: A total of 32 patients (16 males, 16 females; mean age 32.7±13.4 years; range 4 to 61 years) who were performed surgical resection for pulmonary sequestration between January 1987 and December 2015 were reviewed. Patients were evaluated according to demographics, symptoms, diagnostic methods, type, localization and vascular characteristics of pulmonary sequestration, type of resection, complications, and outcomes. Results:Of the patients, intralobar sequestration was detected in 87.5% and extralobar sequestration in 12.5%. Intralobar sequestration was located in the lower lobe in 89.3% and in the upper lobe in 10.7% of the patients. All extralobar sequestrations were located in the left hemithorax; 75% was located at the base of the hemithorax and 25% was located at the apex. Of the patients, lobectomy was performed in 53.1%, wedge resection in 25%, mass excision in 12.5%, and segmentectomy in 9.4%. Postoperative complications occurred in 18.8% of the patients as prolonged air leak in three patients, wound infection in two patients, and empyema in one patient. No mortality was observed. Median follow-up period was 42 months (range 3 to 105 months) and we detected that patients remained asymptomatic. Conclusion: Although pulmonary sequestration has a benign course, it should be removed owing to its severe complications even if patients are asymptomatic. Computed to...

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“…Intralobar sequestration has almost equal gender prevalence. [9] In the current study, distribution between the genders was equal as reported in literature.…”

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Surgical approach in pulmonary sequestrations: An institutional experience with 32 cases

Özkan¹

2017

Turk Gogus Kalp Dama

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“…Широкое распростра нение компьютерной томографии (КТ) позволяет чаще диагностировать эту патологию и выделять ее в структуре острых и хронических неспецифических заболеваний легких [3,4]. Традиционное хирурги ческое лечение заключается в перевязке аномально го сосуда и удалении пораженной части легкого, осу ществляемое путем открытых вмешательств [5,6].…”

Section: заметки из практикиunclassified

Thoracoscopic lobectomy in intrapulmonary lung sequestration

Пушкин¹,

Бенян²,

Медведчиков-Ардия³

2013

Pulʹmonologiâ (Mosk.)

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“…Among the two types of BPS, intralobar BPS is more common, representing approximately 75∼90% of BPS 2,7 . Intralobar BPS is diagnosed in the second decade of life or younger in approximately 50∼60% of cases, and rarely found in patients older than 50 years 6 . As the patient reported here, most senile patients experience chronic cough, sputum, and recurrent attacks of pneumonia similarly with juvenile patients 8 .…”

Section: Case Reportmentioning

confidence: 99%

“…Intralobar sequestration is typically diagnosed in pediatric or adolescent patients, with equal gender prevalence. These are rarely found in patients older than 50 years 6 . Most intralobar BPSs are supplied with arterial blood by the thoracic or abdominal aorta 2 .…”

Section: Introductionmentioning

confidence: 97%

Bronchopulmonary Sequestration with Dual Arterial Supply from Celiac Artery and Thoracic Aorta

Kim

Jeong

et al. 2010

Tuberc Respir Dis

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Bronchopulmonary sequestration (BPS) is a rare congenital malformation of the lower respiratory tract. Most intralobar BPSs are provided with an arterial blood via the thoracic or abdominal aorta but such a supply is rarely found in patients older than 50 years. We report a case of an intralobar BPS with a dual arterial supply from the celiac artery and thoracic aorta in a 50-year-old man presenting with a respiratory tract infection and haemoptysis. To our knowledge, this is the first case report of a BPS supplied by the celiac artery and thoracic aorta in a 50-year-old man.

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Intralobar sequestration in the middle-aged and elderly adult: recognition and radiographic evaluation

Cited by 57 publications

References 18 publications

Surgical approach in pulmonary sequestrations: An institutional experience with 32 cases

Surgical approach in pulmonary sequestrations: An institutional experience with 32 cases

Thoracoscopic lobectomy in intrapulmonary lung sequestration

Bronchopulmonary Sequestration with Dual Arterial Supply from Celiac Artery and Thoracic Aorta

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