Magnetic Resonance Imaging to Diagnose Intralobar Pulmonary Sequestration

Oliphant, Lawrie D.; McFadden, Robin G.; Carr, Thomas J.; MacKenzie, Donald

doi:10.1378/chest.91.4.500

Cited by 33 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is a safe and non‐invasive alternative imaging method, which may be useful 19–21 . With its multiplanar capability, MRI provides an excellent observation of the supplying systemic arterial anatomy 6 (Figs 8,9).…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Imaging in bronchopulmonary sequestration

et al. 2009

View full text Add to dashboard Cite

SummaryBronchopulmonary sequestration is an uncommon pulmonary disorder characterized by an area of non-functioning abnormal lung tissue, which receives its blood supply from a systemic artery and characteristically has no connection with the tracheobronchial tree. The abnormal lung tissue is located within the visceral pleura of a pulmonary lobe in the intralobar variety, whereas the extralobar form has its own visceral pleura. The venous drainage of the extralobar type is usually into the systemic veins, whereas the intralobar type drains into the pulmonary veins. Radiological imaging plays a vital role in establishing the diagnosis, and even more importantly, in providing to the clinician a vascular roadmap essential for surgical planning. We present here a review of bronchopulmonary sequestration and also discuss the role of various imaging methods in the early diagnosis and management of these cases.

show abstract

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Imaging in bronchopulmonary sequestration

et al. 2009

View full text Add to dashboard Cite

show abstract

“…15 After the neonatal period, sequestrations can present as recurrent localized pneumonias. 16 In this case, the presentation with progressive respiratory distress, a mediastinal shift, and involvement of the entire lung is inconsistent with a pulmonary sequestration, and generally no ventilation of a sequestration is noted on ventilation-perfusion scanning.…”

mentioning

confidence: 77%

Case 30-1997

Wilson¹,

Mark²

1997

N Engl J Med

View full text Add to dashboard Cite

An 18-day-old girl was admitted to the hospital because of a left pneumothorax and cystic changes in the left lung.The infant was a triplet, born by cesarean section to a 36-year-old mother after a 32-week gestation. The Apgar score was 9 at one and five minutes, and the birth weight was 1535 g (40th percentile for gestational age). The patient had mild respiratory distress and required nasal continuous positive airway pressure for two days. The findings on a radiograph of the chest were compatible with mild respiratory distress syndrome. Theophylline was given for periodic apnea and bradycardia, and gavage feedings were begun. The infant was discharged to a nursery at another hospital on the 11th day of life.Two days before admission, tachypnea and tachycardia developed abruptly. The results of laboratory tests are shown in Table 1. The findings on a radiograph of the chest were interpreted as indicating a pneumothorax, although a subsequent review at this hospital showed cystic changes in the left lung and a shift of the mediastinum to the right, without a pneumothorax. A needle aspiration of air was performed, and a chest tube was inserted. Ampicillin and gentamicin were given. A blood culture yielded coagulase-negative staphylococcus, and vancomycin was administered. Two days later, tachypnea recurred, with intercostal retractions, despite a functioning chest tube. Laboratory tests were performed (Tables 1 and 2), and arterial-blood gases measured (Table 3). A chest radiograph (Fig. 1) showed diffuse cystic changes in the left lung, with a mediastinal shift to the right.The infant was transferred to this hospital while T ABLE 1. H EMATOLOGIC L ABORATORY F INDINGS .

show abstract

“…Transcatheter embolisation of the aberrant artery may also be used and it reduces surgical complications [19,20]. Spiral computed tomography and magnetic resonance imaging are especially valuable in terms of observing arterial branch and venous drainage [21,22].…”

Section: Discussionmentioning

confidence: 99%

The rare congenital anomaly of pulmonary sequestration experience and review of literature

Pekçolaklar

Çıtak

Metin

et al. 2010

Indian J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Objective Pulmonary sequestration is rare lung anomaly which had very major theories of origin. The aim of this study was to treat this rare congenital anomaly, pulmonary sequestration, which was not diagnosed of preoperatively, in our centre. Methods A retrospective analysis of 10 cases of pulmonary sequestration operated at the centre between 2000 and 2010. A review of the extralobar and intralobar types of sequestration is discussed. All patients were not diagnosed preoperatively. Results Pulmonary sequestration is found more commonly in women (6 patients). In all patients, the diagnosis was made by exploratory thoracotomy. Six patients had intralobar (one was apical) and 4 were extralobar (one apical). Lobectomy for intralobar and sequestrectomy for extralobar sequestration were performed.Conclusions Although rare, some radiological features are sufficiently suggestive of diagnosis of pulmonary sequestration. We believe that pulmonary sequestration should be considered when intrathoracic masses cannot be differentiated through invasive and non-invasive evaluation. In difficult cases methods such as aortagraphy, doppler angiography and Magnetic Resonance (MR) angiography may be used.

show abstract

Magnetic Resonance Imaging to Diagnose Intralobar Pulmonary Sequestration

Cited by 33 publications

References 9 publications

Imaging in bronchopulmonary sequestration

Imaging in bronchopulmonary sequestration

Case 30-1997

The rare congenital anomaly of pulmonary sequestration experience and review of literature

Contact Info

Product

Resources

About