[Surgical treatment of pulmonary sequestration--20 years experience].
OBJECTIVE
To study our experience in the diagnostics and treatment of pulmonary sequestration and to evaluate the long-term postoperative results.


METHODS
Between Jan 1989 and Jan 2009. 8 patients (3 men, 5 women, mean age of 23.9 years) were operated on for lung sequestration. Sequestration was intralobar in 6 cases and extralobar in 2 cases. The abnormality was discovered by chance in 2 patients. The most frequent clinical manifestation was those of recurrent bronchopneumonia. Chest X-rays showed an apparently benign, posterobasal image in 75% of the cases. Arteriography was performed in 2 patients and revealed an abnormal systemic artery. Computerized tomography imaging with i.v. contrast confirmed the diagnosis in 6 patients. The intralobar type of sequestration was treated by lobectomy, and the extralobar type by sequestrectomy.


RESULTS
The operative mortality and the morbidity rates were nil. The mean in-hospital stay was 7.75 days. The long-term postoperative results (follow-up from 5 to 20 years) are considered excellent.


CONCLUSIONS
The surgery is a method of choice in the treatment of pulmonary sequestration. with low rate of postoperative complications and excellent long-term results.
Petrov
D
D
Stanoev
V
V
Penkov
M
M
Goranov
E
E
Yankov
G
G
D000328:Adult; D000792:Angiography; D001996:Bronchopneumonia / Q000209:etiology; D001998:Bronchopulmonary Sequestration / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011013:Pneumonectomy; D011184:Postoperative Period; D016896:Treatment Outcome; D014965:X-Rays; D055815:Young Adult