scholarly journals Computed Tomography findings of atypical intralobar pulmonary sequestration: Research Article

2021 ◽  
Vol 9 (1) ◽  
pp. 10-10
Author(s):  
Sercan Özkaçmaz ◽  
Muhammed Bilal Akıncı ◽  
Mesut Özgökçe ◽  
İlyas Dündar ◽  
Fatma Durmaz ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Rare Congenital Anomaly ◽  
Pulmonary Lesions ◽  
Intralobar Sequestration ◽  
Research Article ◽  
Atypical Features ◽  
Intralobar Pulmonary Sequestration ◽  
Different Types

Backgrounds: Bronchopulmonary sequestration (BPS) is a rare congenital anomaly of the lung that has two different types as intralobar and extralobar. In this study, we aimed to present six cases of intralobar sequestration with atypical findings in terms of feeding, drainage and, localization. Methods: Patients diagnosed with intralobar pulmonary sequestration in our clinic between 2015-2019 were evaluated retrospectively. Demographical features and atypical Computed Tomography (CT) findings of the patients were presented by literature. Results: Among 45 patients with intralobar sequestration, six ones (13.3%) (5 males and 1 female) with a mean age of 43.5±25.4 (0-78) years old) had atypical pulmonary findings on CT images. Atypical features regarding arterial supply was detected in 8.9%, venous drainage in 2.2%, location in 4.4%, radiological appearance ın 4.4% and co-existing lesion in 2.2% of the patient with intralobar sequestration. Conclusion: Typical and atypical features of pulmonary sequestration must be well-known for differential diagnosis of solid or cystic pulmonary lesions.

scholarly journals Prevalence, Spectrum, and Outcomes of Single Coronary Artery Detected on Coronary Computed Tomography Angiography (CCTA)

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Rashid Al Umairi ◽  
Maryam Al-khouri
Keyword(s):  
Computed Tomography ◽  
Congenital Anomaly ◽  
Coronary Artery ◽  
Computed Tomography Angiography ◽  
Coronary Computed Tomography Angiography ◽  
Single Coronary Artery ◽  
Female Ratio ◽  
Rare Congenital Anomaly ◽  
Coronary Computed Tomography ◽  
Different Types

Background. Single coronary artery (SCA) is a rare congenital anomaly in which there is an isolated coronary artery that arises from a single coronary ostium and provides coronary blood supply to the entire myocardium. SCA is classified into different types based on the origin, branching pattern, and course. Although the majority of patients with SCA are asymptomatic, some patients can present with life-threatening symptoms. Aim. To examine the prevalence, anatomical distribution, and outcome of the single coronary artery anomaly detected on coronary computed tomography angiography (CCTA) in a single center in Oman. Methods. Retrospectively, we reviewed 4,445 patients who underwent coronary computed tomography angiography between September 2012 and August 2018 at the National Heart Center, Muscat, Oman. We identified patients with a single coronary artery, and we evaluated the origin, course, and outcome of SCA. Results. We found 12 patients with single coronary artery among 4,445 patients with a mean age of 56.4 years (age range: 34 to 71 years; male : female ratio: 5 : 7). The most common class was RIII-C seen in 4 patients. Other SCA included RII-C, RII-A, and RII-S, two in each class. One patient had RI and one had LII-P. Two patients had coronary artery bypass graft. No major adverse cardiac events were reported over a mean follow-up of 25.3 months. Conclusion. Single coronary artery (SCA) is a rare congenital anomaly classified into different types. In our study, the prevalence of SCA was 0.27% that is higher than the figures from previous reports.

scholarly journals Effect of different therapeutic strategies on the clinical outcome of asymptomatic intralobar pulmonary sequestration

2019 ◽  
Vol 29 (5) ◽  
pp. 706-713 ◽  
Author(s):  
Xiao-Kun Li ◽  
Jing Luo ◽  
Wen-Jie Wu ◽  
Zhuang-Zhuang Cong ◽  
Yang Xu ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Hospital Stay ◽  
Pulmonary Sequestration ◽  
Therapeutic Strategies ◽  
Postoperative Hospital Stay ◽  
Intralobar Sequestration ◽  
Estimated Blood Loss ◽  
Intralobar Pulmonary Sequestration ◽  
Group 2 ◽  
Group 1

Abstract OBJECTIVES Pulmonary sequestration is a rare congenital pulmonary malformation. The aim of this study was to explore the effect of different therapeutic strategies on the clinical outcome of asymptomatic intralobar pulmonary sequestration. METHODS We retrospectively reviewed the clinical data of 37 patients diagnosed with intralobar sequestration. All the patients were asymptomatic. Seventeen patients underwent video-assisted thoracoscopic surgery (VATS) once diagnosed and 20 patients chose to undergo observation. Of these 20 patients, 16 patients developed symptoms during the observation period and also underwent VATS; 4 patients never showed symptoms and did not have surgery. The 33 patients who had VATS were divided into 2 groups: group 1, patients who underwent VATS once diagnosed; group 2, patients who underwent VATS once symptoms appeared. Postoperative data and respiratory function data were compared between the 2 groups. RESULTS Twenty of the patients were men and 17 were women (mean age 37.05 ± 7.89 years). Results of a comparative analysis of the 2 groups indicated that patients in group 1 had better values for median estimated blood loss, median duration of chest tube insertion, postoperative hospital stay and postoperative hospital stay than those in group 2. Postoperative complications were reported in 1 patient in group 1 and in 3 patients in group 2. Meanwhile, the loss of lung function between group 1 and group 2 was statistically significant, which also suggested that patients benefited from surgery once diagnosed. CONCLUSIONS For asymptomatic intralobar sequestration, VATS could be effective and safe. The surgical intervention should be performed once the condition is diagnosed to avoid manifestations occurring and to preserve patients’ quality of life.

Adenocarcinoma in pulmonary sequestration

2011 ◽  
Vol 19 (6) ◽  
pp. 433-435 ◽  
Author(s):  
Lukman Lawal ◽  
Dimitrios Mikroulis ◽  
Savvas Eleftheriadis ◽  
Panagiotis Karros ◽  
Ioannis Bougioukas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Fluid Level ◽  
Male Smoker ◽  
Recurrent Pneumonia ◽  
Chest Computed Tomography ◽  
Lower Lobectomy ◽  
Intralobar Sequestration

A 67-year-old male smoker presented with hemoptysis and recurrent pneumonia. Chest computed tomography showed an emphysematous cyst and air-fluid level cavities in the left lower lobe. A left lower lobectomy was performed. The intraoperative finding was intralobar sequestration. Histopathology revealed adenocarcinoma within the sequestrated lobe. Only 8 cases of lung cancer and sequestration have been reported since 1963.

Use of Amplatzer Vascular Plugs for the treatment of combined extralobar and intralobar pulmonary sequestration in a 5-year-old child

2016 ◽  
Vol 26 (7) ◽  
pp. 1441-1444 ◽  
Author(s):  
Carrie E. Herbert ◽  
Surendranath R. Veeram Reddy ◽  
Matthew S. Lemler
Keyword(s):  
Heart Failure ◽  
Respiratory Symptoms ◽  
Pulmonary Sequestration ◽  
Normal Lung ◽  
Visceral Pleura ◽  
Recurrent Infections ◽  
Rare Congenital Anomaly ◽  
Extralobar Pulmonary Sequestration ◽  
Intralobar Pulmonary Sequestration ◽  
Transcatheter Embolisation

AbstractPulmonary sequestration is a rare congenital anomaly that can be asymptomatic or present with recurrent infections, respiratory symptoms, or rarely heart failure. Sequestration is classified as intralobar or extralobar on the basis of whether there is separation from normal lung tissue by its own visceral pleura. Classically, patients are treated with surgical resection. We present a case of multivessel, combined intralobar and extralobar pulmonary sequestration treated with transcatheter embolisation.

scholarly journals A Patient with Intralobar Pulmonary Sequestration: A Rare Congenital Anomaly

2012 ◽  
Vol 20 (1) ◽  
pp. 99-102 ◽  
Author(s):  
Walter Beneduzzi Fiorotto ◽  
Leandro Zacarias ◽  
Marcio Ricardo dos Santos ◽  
Flavio Borges de Oliveira ◽  
Jamil Elias Dib Filho ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Pulmonary Sequestration ◽  
Rare Congenital Anomaly ◽  
Intralobar Pulmonary Sequestration

Regression of Left Ventricular Dilation After Percutaneous Closure of a Large Intralobar Pulmonary Sequestration

2009 ◽  
Vol 20 (1) ◽  
pp. 89-90 ◽  
Author(s):  
Alejandro Alvarez ◽  
Francesco Borgia ◽  
Paolo Guccione
Keyword(s):  
Pulmonary Sequestration ◽  
Left Ventricular ◽  
Percutaneous Closure ◽  
Ventricular Dilation ◽  
Intralobar Sequestration ◽  
Left Ventricular Dilation ◽  
Intralobar Pulmonary Sequestration ◽  
Aberrant Artery ◽  
The Right ◽  
Left Ventricular Enlargement

AbstractWe describe an infant of 8 months who presented with left ventricular dilation due to an extensive intralobar sequestration of the right lung. The pulmonary sequestration was associated with a patent arterial duct and a right aortic arch. Percutaneous closure of the anomalous aberrant artery feeding the sequestrated lung resulted in prompt regression of the left ventricular enlargement.

scholarly journals Role of CT angiography in bilateral pulmonary sequestration: a case report

2018 ◽  
Vol 7 (3) ◽  
pp. 205846011875757
Author(s):  
Rizwana Yasmin ◽  
Dorte R Stærk ◽  
Anna Kalhauge ◽  
Henrik J Hansen ◽  
Tina E Olsen ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Pulmonary Veins ◽  
Three Dimensional ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Vital Role ◽  
Vats Lobectomy ◽  
3D Images ◽  
Intralobar Pulmonary Sequestration ◽  
The Right

Bilateral pulmonary sequestration (PS) is a very rare congenital malformation. We describe a case of bilateral intralobar pulmonary sequestration (ILS) in a newborn. Both sequestrations received arterial supply from separate branches of the descending aorta and venous drainage was into ipsilateral inferior pulmonary veins. Prenatal ultrasonography showed cystic changes in the lungs. Computed tomography angiography (CTA) with supplemental two-dimensional (2D) and three-dimensional (3D) images was performed to clearly define the pathology and revealed bilateral intralobar pulmonary sequestration with aberrant blood supply. The child underwent successful video-assisted thoracoscopic surgical (VATS) lobectomy on the left side and thoracoscopic wedge resection on the right side. There were no complications. CTA with supplemental 2D and 3D images plays a vital role in revealing the exact pathology in congenital pulmonary malformations associated with anomalous vasculature.

Arteritis and Plexiform Lesion in Intralobar Pulmonary Sequestration: The First Case With Such Two Distinct Complex Lesions Associated With Local Pulmonary Hypertension

2019 ◽  
Vol 28 (3) ◽  
pp. 321-324
Author(s):  
Hirotsugu Hashimoto ◽  
Jun Matsumoto ◽  
Masashi Kusakabe ◽  
Genki Usui ◽  
Noriko Hiyama ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Systemic Vasculitis ◽  
Pulmonary Sequestration ◽  
Vascular Changes ◽  
Intralobar Sequestration ◽  
Plexiform Lesions ◽  
First Case ◽  
Intralobar Pulmonary Sequestration ◽  
Plexiform Lesion ◽  
Local Ph

In intralobar pulmonary sequestrations, vascular changes similar to those in pulmonary hypertension (PH) are generally observed, such as intimal proliferation and plexiform lesions. However, to our knowledge, a sequestrated lung manifesting vascular changes with both arteritis and a plexiform lesion has never been reported. A 25-year-old man was diagnosed with intralobar pulmonary sequestration. Pathologically, both arteritis and a plexiform lesion were observed in the sequestrated lung. Systemic vasculitis syndrome was clinically excluded, and the pathological findings appeared to be associated with local PH. Arteritis is an extremely rare finding; only one case of arteritis associated with local PH has been reported in intralobar sequestration. In this case, the artery near the plexiform lesion had milder inflammation and fibrosis, suggesting that the arteritis formed prior to the plexiform lesion. This is the first case of arteritis and a plexiform lesion co-occurring in intralobar pulmonary sequestration associated with local PH. This case may shed light on the formation of plexiform lesions and their association with arteritis.

scholarly journals Rare cause of haemoptysis: bronchopulmonary sequestration

2021 ◽  
Vol 14 (3) ◽  
pp. e239140
Author(s):  
Muhammad Shafiq ◽  
Amjad Ali ◽  
Ujaas Dawar ◽  
Niranjan Setty
Keyword(s):  
Imaging Modality ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Systemic Circulation ◽  
Tracheobronchial Tree ◽  
Recurrent Infections ◽  
Bronchopulmonary Sequestration ◽  
Intralobar Pulmonary Sequestration ◽  
Lower Airways

Bronchopulmonary sequestration is a rare congenital pulmonary abnormality of the lower airways, which includes an abnormal and non-functioning lung tissue not communicating with the tracheobronchial tree and having aberrant blood supply from systemic circulation with variable venous drainage. The incidence of sequestration is around 0.15%–6.4% of all congenital lung malformations.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.This is a case report of a 32-year-old woman who presented with cough and haemoptysis. CT of the chest showed a multiloculated mass-like lesion in the left lower lobe with a feeding artery from coeliac plexus and venous drainage via the normal left pulmonary vein.Based on CT chest findings, diagnosis of intralobar pulmonary sequestration was made. The patient was reviewed by cardiothoracic surgeons and underwent surgical resection of the sequestrated lung.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.

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