Portal de Periódicos da CAPES

Intralobar pulmonary sequestration in association with bilateral systemic arterialization of the lungs

1972; Wiley; Volume: 45; Issue: 540 Linguagem: Inglês

10.1259/0007-1285-45-540-945

1748-880X

J. T. Ennis, N. J. Moule, M. Woo-Ming,

Congenital Anomalies and Fetal Surgery

Over 250 cases of intralobar pulmonary sequestration have now been reported (Ranniger and Valvassori, 1964). The diagnosis which may be suspected on the clinical, plain radiographic and bronchographic findings, depends on the angiographic or operative demonstration of an aberrant systemic arterial supply to the affected segment. The preoperative angiographic visualization of this pulmonary systemic arterialization arising from the thoracic or abdominal aorta either as a single large vessel (McDowell, Robb and Indyk, 1955) or as multiple small arteries (Turk and Lindskog, 1961) to a large extent eliminates the operative hazards (Harris and Lewis, 1940). This paper reports an unusual case of pulmonary intralobar sequestration in association with bilateral aberrant systemic arteries. The angiographic and operative findings suggest that this may be a case of bilateral pulmonary squestration. D.M., a boy aged four-and-a-half years, was admitted to the University Hospital of the West Indies for investigation of a persistent pulmonary infection. The patient had been well up to the age of two-and-a-half years when he was first admitted to the Children's Hospital with signs of a left lower lobe pneumonia. The postero-anterior radiograph on this admission showed evidence of cystic changes in the left lower posterior segment. Bronchoscopy at this time excluded the presence of a foreign body. A diagnosis of staphylococcal pneumonia was made and following treatment with the appropriate antibiotics the patient was discharged. The history since then is one of frequent chest infections and occasional hemoptysis.