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Two unusual variants of pulmonary intra-lobar sequestration

A pulmonary sequestration is a congenital malformation characterized by non-functional lung tissue with abnormal arterial systemic supply and abnormal connection to the bronchial tree. This may lead to recurrent infections rendering a surgical intervention more demanding. Because of multiple anatomi...

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Autores principales: Pauels, Laura, De Waele, Michèle, Medart, Laurent, Debruche, Mathieu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318888/
https://www.ncbi.nlm.nih.gov/pubmed/35861412
http://dx.doi.org/10.1093/icvts/ivac189
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author Pauels, Laura
De Waele, Michèle
Medart, Laurent
Debruche, Mathieu
author_facet Pauels, Laura
De Waele, Michèle
Medart, Laurent
Debruche, Mathieu
author_sort Pauels, Laura
collection PubMed
description A pulmonary sequestration is a congenital malformation characterized by non-functional lung tissue with abnormal arterial systemic supply and abnormal connection to the bronchial tree. This may lead to recurrent infections rendering a surgical intervention more demanding. Because of multiple anatomic variations, it is important to obtain high-quality preoperative radiological clarification to determine the most suitable surgical approach. Although a non-surgical technique, consisting of embolization of the aberrant artery has been described, a surgical technique remains the treatment of choice in operable patients. Preoperative embolization of the aberrant artery may reduce the risk of haemorrhage but could cause technical challenges in a hybrid approach and therefore unforeseen peroperative stress to the surgical team. We report 2 adult patients with unusual intra-lobar sequestration with aberrant vascular rare anatomy. Both were treated by surgery. In the latter patient, we performed a hybrid approach. This was complicated by peroperative coils exposure making it a technical challenge to proceed.
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spelling pubmed-93188882022-07-27 Two unusual variants of pulmonary intra-lobar sequestration Pauels, Laura De Waele, Michèle Medart, Laurent Debruche, Mathieu Interact Cardiovasc Thorac Surg Case report A pulmonary sequestration is a congenital malformation characterized by non-functional lung tissue with abnormal arterial systemic supply and abnormal connection to the bronchial tree. This may lead to recurrent infections rendering a surgical intervention more demanding. Because of multiple anatomic variations, it is important to obtain high-quality preoperative radiological clarification to determine the most suitable surgical approach. Although a non-surgical technique, consisting of embolization of the aberrant artery has been described, a surgical technique remains the treatment of choice in operable patients. Preoperative embolization of the aberrant artery may reduce the risk of haemorrhage but could cause technical challenges in a hybrid approach and therefore unforeseen peroperative stress to the surgical team. We report 2 adult patients with unusual intra-lobar sequestration with aberrant vascular rare anatomy. Both were treated by surgery. In the latter patient, we performed a hybrid approach. This was complicated by peroperative coils exposure making it a technical challenge to proceed. Oxford University Press 2022-07-21 /pmc/articles/PMC9318888/ /pubmed/35861412 http://dx.doi.org/10.1093/icvts/ivac189 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case report
Pauels, Laura
De Waele, Michèle
Medart, Laurent
Debruche, Mathieu
Two unusual variants of pulmonary intra-lobar sequestration
title Two unusual variants of pulmonary intra-lobar sequestration
title_full Two unusual variants of pulmonary intra-lobar sequestration
title_fullStr Two unusual variants of pulmonary intra-lobar sequestration
title_full_unstemmed Two unusual variants of pulmonary intra-lobar sequestration
title_short Two unusual variants of pulmonary intra-lobar sequestration
title_sort two unusual variants of pulmonary intra-lobar sequestration
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318888/
https://www.ncbi.nlm.nih.gov/pubmed/35861412
http://dx.doi.org/10.1093/icvts/ivac189
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