Thoracoscopic treatment of pulmonary sequestration☆

Kestenholz, Peter; Schneiter, Didier; Hillinger, Sven; Lardinois, Didier; Weder, Walter

doi:10.1016/j.ejcts.2006.02.018

Cited by 106 publications

(107 citation statements)

References 18 publications

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“…(18) Both types of pulmonary sequestration receive their blood supply from the systemic circulation (Figure 2), generally via the descending thoracic aorta or the abdominal aorta. (4,(11)(12)(13)18,19) In approximately 15% of cases, blood supply is provided by a different systemic artery. (11,13,18,19) In intralobar pulmonary sequestration, venous drainage is into the pulmonary veins, (18) whereas it is into the systemic venous system (azygos vein or portal vein) in extralobar pulmonary sequestration.…”

Section: Pulmonary Sequestrationmentioning

confidence: 99%

“…Pulmonary sequestration accounts for 0.15-6.45% of all lung malformations (9)(10)(11)(12)(13)(14) and is characterized by normal, nonfunctioning lung tissue that has no connection with the bronchial tree and receives its blood supply from the systemic circulation. (4,10,(12)(13)(14) Pulmonary sequestrations can be classified as extralobar or intralobar depending on their location in relation to the adjacent normal lung and on their visceral pleural covering.…”

Section: Pulmonary Sequestrationmentioning

confidence: 99%

“…(4,10,(12)(13)(14) Pulmonary sequestrations can be classified as extralobar or intralobar depending on their location in relation to the adjacent normal lung and on their visceral pleural covering. (4,10,11,15) There is a third, rarer, extralobar pulmonary sequestration is composed of irregular bronchi and bronchioles, as well as by alveoli that are twice to five times their normal size.…”

Section: Pulmonary Sequestrationmentioning

confidence: 99%

“…(5) is covered by visceral pleura and separated from the functioning lung, whereas intralobar pulmonary sequestration can be completely covered by normal lung tissue or by a segment of the visceral pleura of the lung lobe within which the sequestration occurs. (11)(12)(13)(14) Pulmonary sequestrations are responsible for 1.1-1.8% of all pulmonary resections. (14) In rare cases, the extralobar and intralobar forms can occur simultaneously.…”

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confidence: 99%

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Malformações pulmonares congênitas

2011

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Congenital lung malformations are rare and vary widely in their clinical presentation and severity, depending mostly on the degree of lung involvement and their location in the thoracic cavity. They can manifest at any age and can be the source of significant morbidity and mortality in infants and children. Individuals with congenital lung malformations can present with respiratory symptoms at birth or can remain asymptomatic for long periods. Recently, there has been an increase in the early diagnosis of these malformations, a change that is attributable to the routine use of prenatal ultrasound. The clinical manifestation of these malformations varies from respiratory distress in the immediate postnatal period to an incidental finding on chest X-rays. Early diagnosis and prompt treatment offer the possibility of absolutely normal lung development. The treatment of asymptomatic patients with lung malformations is controversial, because the prognosis of these diseases is unpredictable. The management of these lesions depends on the type of malformation and symptoms. Because of the risk of complications, most authors recommend resection of the lesion at the time of diagnosis. Lobectomy is the procedure of choice and yields excellent long-term results. This article describes the principal congenital lung malformations, their diagnosis, and the controversies regarding treatment.Keywords: Cystic adenomatoid malformation of lung, congenital; Bronchopulmonary sequestration; Pulmonary surgical procedures; Diagnosis. ResumoAs malformações congênitas do pulmão são raras e variam muito na sua forma de apresentação clínica e gravidade, dependendo principalmente do grau de envolvimento pulmonar e de sua localização na cavidade torácica. Elas podem se manifestar em qualquer idade e podem ser fonte de importante morbidade e mortalidade em lactentes e crianças. Os indivíduos com malformações congênitas do pulmão podem apresentar sintomas respiratórios ao nascimento, enquanto outros podem permanecer assintomáticos por longos períodos. Atualmente, com o uso rotineiro da ultrassonografia pré-natal, vem ocorrendo um aumento no diagnóstico mais precoce dessas malformações. A manifestação clínica dessas malformações varia desde uma disfunção respiratória pós-natal imediata a um achado acidental na radiografia de tórax. O diagnóstico precoce e o tratamento imediato oferecem a possibilidade de um desenvolvimento pulmonar absolutamente normal. Quando assintomáticos, a conduta para o tratamento dos pacientes com malformações pulmonares ainda é controversa, uma vez que o prognóstico dessas afecções é imprevisível. O manejo dessas lesões depende do tipo de malformação e de sintomas. Devido ao risco de complicação, a maioria dos autores sugere a ressecção da lesão no momento em que essa é identificada. A lobectomia é o procedimento de escolha, fornecendo excelentes resultados a longo prazo. Este artigo descreve as principais malformações pulmonares congênitas, seu diagnóstico e controvérsias quanto o tratamento. (5) is covered by ...

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Section: Pulmonary Sequestrationmentioning

confidence: 99%

Section: Pulmonary Sequestrationmentioning

confidence: 99%

Section: Pulmonary Sequestrationmentioning

confidence: 99%

mentioning

confidence: 99%

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Malformações pulmonares congênitas

2011

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“…In contrast, later development of the accessory lung bud results in the extralobar type [2,17,18] . A spiral CT with contrast angiography and magnetic resonance imaging (MRI) are the diagnostic techniques of choice [5,7,11,[19][20][21][22][23][24][25][26] . The treatment of an extralobar sequestrum is mainly by surgical excision which removes the mass completely total of the sequestrum to reduce the risk of repeated infection [2,5,7,19,20,[27][28][29] .…”

Section: Discussionmentioning

confidence: 99%