A case of intralobar pulmonary sequestration.

Seo, Hae Sook; Park, Mun Hwan; Rhee, Myung Seon; Rhu, Nam Soo; Cho, Dong Ill; Hur, Yong

doi:1993.40.6.736

Tuberc Respir Dis > Volume 40(6); 1993 > Article

Original Article

Tuberculosis and Respiratory Diseases 1993;40(6):736-741.
DOI: https://doi.org/10.4046/trd.1993.40.6.736 Published online December 1, 1993.

A case of intralobar pulmonary sequestration.

Hae Sook Seo¹, Mun Hwan Park¹, Myung Seon Rhee¹, Nam Soo Rhu¹, Dong Ill Cho¹, Yong Hur²

¹Department of Chest Medicine, National Medical Center, Seoul, Korea
²Department of Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea

Abstract

Pulmonary sequestration is the part of a spectrum of bronchopulmonary foregut anomalies in which a portion of lung parenchyma does not communicate with the tracheobronchial tree and usually receives its arterial supply from a systemic vessel. The sequestrated portion of the lung is susceptible to infection. The patient with this entity will have a paucity of symptoms and will present himself for treatment because of persistent pneumonia. The associated aberrant systemic aπery makes the preoperative diagnosis of the lesion imperative because of the life-threatening technical hazards posed by this artery . We experienced a case of intralobar pulmonary sequestration. Initially, the diagnosis of sequestration was unsuspected and open thoracotomy was done for management of homogenous cystic mass on left lower lobe, but one anomalous systemic artery from thoracic descending aoπa to sequestrated lung was incidentally revealed. Then we underwent lower lobectomy and ligation of anomalous artery.

Key Words: Intralobar pulmonary sequestration