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Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience
Pulmonary sequestrations are rare congenital malformations. They are often located in the lower lobes, and they are supplied by an aberrant systemic vessel arising from the thoracic aorta or abdominal arteries. These pulmonary malformations are divided into intra- and extralobar sequestrations, depe...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766203/ https://www.ncbi.nlm.nih.gov/pubmed/34480559 http://dx.doi.org/10.1093/icvts/ivab245 |
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author | Grossi, William Londero, Francesco Vit, Alessandro De Franceschi, Elisa Masullo, Gianluca Sponza, Massimo Morelli, Angelo |
author_facet | Grossi, William Londero, Francesco Vit, Alessandro De Franceschi, Elisa Masullo, Gianluca Sponza, Massimo Morelli, Angelo |
author_sort | Grossi, William |
collection | PubMed |
description | Pulmonary sequestrations are rare congenital malformations. They are often located in the lower lobes, and they are supplied by an aberrant systemic vessel arising from the thoracic aorta or abdominal arteries. These pulmonary malformations are divided into intra- and extralobar sequestrations, depending on the respective lack or presence of an independent pleural covering. Pulmonary sequestration can be asymptomatic or lead to recurrent pulmonary infections. The goal of this study was to analyse the feasibility and safety of a hybrid sequential approach. We report a small series of intralobar pulmonary sequestrations, from November 2017 to December 2018, successfully treated with a hybrid minimally invasive approach consisting of endovascular embolization of the aberrant arterial branch followed by video-assisted thoracoscopic lobectomy the day after. Thoracic pain following endovascular embolization was noted in all cases. Patients were discharged early in the absence of major postoperative complications. Prolonged air leak was observed in only 1 case. Despite the presence of sequestration-related pulmonary inflammation, in our experience, hybrid treatment for intralobar pulmonary sequestration is a safe and reproducible approach in terms of postoperative complications and hospital stay. |
format | Online Article Text |
id | pubmed-8766203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-87662032022-01-19 Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience Grossi, William Londero, Francesco Vit, Alessandro De Franceschi, Elisa Masullo, Gianluca Sponza, Massimo Morelli, Angelo Interact Cardiovasc Thorac Surg Thoracic Pulmonary sequestrations are rare congenital malformations. They are often located in the lower lobes, and they are supplied by an aberrant systemic vessel arising from the thoracic aorta or abdominal arteries. These pulmonary malformations are divided into intra- and extralobar sequestrations, depending on the respective lack or presence of an independent pleural covering. Pulmonary sequestration can be asymptomatic or lead to recurrent pulmonary infections. The goal of this study was to analyse the feasibility and safety of a hybrid sequential approach. We report a small series of intralobar pulmonary sequestrations, from November 2017 to December 2018, successfully treated with a hybrid minimally invasive approach consisting of endovascular embolization of the aberrant arterial branch followed by video-assisted thoracoscopic lobectomy the day after. Thoracic pain following endovascular embolization was noted in all cases. Patients were discharged early in the absence of major postoperative complications. Prolonged air leak was observed in only 1 case. Despite the presence of sequestration-related pulmonary inflammation, in our experience, hybrid treatment for intralobar pulmonary sequestration is a safe and reproducible approach in terms of postoperative complications and hospital stay. Oxford University Press 2021-09-04 /pmc/articles/PMC8766203/ /pubmed/34480559 http://dx.doi.org/10.1093/icvts/ivab245 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Thoracic Grossi, William Londero, Francesco Vit, Alessandro De Franceschi, Elisa Masullo, Gianluca Sponza, Massimo Morelli, Angelo Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title | Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title_full | Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title_fullStr | Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title_full_unstemmed | Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title_short | Hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
title_sort | hybrid minimally invasive treatment of intralobar pulmonary sequestration: a single-centre experience |
topic | Thoracic |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766203/ https://www.ncbi.nlm.nih.gov/pubmed/34480559 http://dx.doi.org/10.1093/icvts/ivab245 |
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