[Diagnosis and surgical treatment of pulmonary sequestration].
Between Jan. 1988 and Jan. 2003 4 patients (3 male, 1 female, mean age of 20 years) were operated on for lung sequestration. Sequestration was intralobar in 3 cases and extralobar in 1 case. The abnormality was discovered by chance in 1 patient. The most frequent clinical manifestation was those of recurrent bronchopneumonia. X-ray films of the chest showed an apparently benign, posterobasal image in 80% of the cases. Arteriography was performed in 1 patient and revealed an abnormal systemic artery. Computerized tomography imaging with i.v. contrast confirmed the diagnosis in 3 patients. The intralobar type of sequestration was treated by lobectomy and polysegmental resection--S7-12, and the extralobar type--by sequestrectomy. The operative mortality and the morbidity rate were nil. The mean stay in hospital was 10 days. The long-term postoperative results are considered excellent.
Petrov
D
D
Goranov
E
E
Stanoev
V
V
Kirova
G
G
Minchev
Ts
Ts
D000293:Adolescent; D000328:Adult; D000792:Angiography; D001981:Bronchial Arteries / Q000002:abnormalities / Q000000981:diagnostic imaging; D001996:Bronchopneumonia; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002031:Bulgaria; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007902:Length of Stay; D008168:Lung / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome