Pulmonary sequestration: a review of 26 cases

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Ressource 1Download: serval:BIB_8D048ECDB726.P001 (1948.44 [Ko])
State: Public
Version: author
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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_8D048ECDB726
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pulmonary sequestration: a review of 26 cases
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Halkic  N., Cuenoud  P. F., Corthesy  M. E., Ksontini  R., Boumghar  M.
ISSN
1010-7940 (Print)
Publication state
Published
Issued date
1998
Volume
14
Number
2
Pages
127-133
Notes
DA - 19981203
LA - eng
PT - Journal Article
SB - IM
Abstract
OBJECTIVES: Pulmonary sequestration is a continuum of lung anomalies for which no single embryonic hypothesis is yet available. The aim of this study was to assess the diagnostic tools and treatment for the rare condition, pulmonary sequestration, in an unspecialised centre. METHODS: We performed an analysis of 26 cases of pulmonary sequestration (paediatric and adult) operated at the Centre Hospitalier Universitaire Vaudois between May 1959 and May 1997. A review of the extralobar and intralobar types of sequestrations is discussed. Angiography is compared to other diagnostic tools in this condition, and treatment is discussed. RESULTS: Twenty-six cases of pulmonary sequestrations, a rare congenital pulmonary malformation, were operated on in the defined time period. Seventy-three percent (19) of the cases were intralobar and 27% (seven) extralobar. Extralobar localisation was basal in 71% and situated between the upper and the lower lobe in 29%. In six cases, the diagnosis was made by exploratory thoracotomy. In the other 20 cases, diagnosis was evoked on chest X-ray and confirmed by angiography. Lobectomy (46%) was the most common treatment procedure. Segmental resection was performed in 30% of the cases and bilobectomy in 4%. Post-operative morbidity was low. The most significant complications were pleural empyema, haemothorax and haemopneumoperitoneum in case of extralobar sequestration. There was no evidence of metaplasia or pre-neoplastic changes. CONCLUSIONS: Despite its rarity, some radiological features are sufficiently suggestive of diagnosis of pulmonary sequestration. Investigations are necessary in order to avoid unexpected pathology at the time of operation. Resection of the involved lung leads to excellent results and the long-term outcome is highly favourable
Keywords
Adult/Angiography/Bronchopulmonary Sequestration/epidemiology/radiography/surgery/Female/Humans/Infant/Lung/pathology/Male/Pneumonectomy/Postoperative Complications/Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
18/02/2008 14:30
Last modification date
25/09/2019 7:09
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