Thorac Cardiovasc Surg 2008; 56(3): 154-157
DOI: 10.1055/s-2007-965572
Original Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Diagnosis and Surgical Treatment of Pulmonary Sequestration

O. Yucel1 , S. Gurkok1 , A. Gozubuyuk1 , H. Caylak1 , E. Sapmaz1 , K. Kavakli1 , M. Dakak1 , O. Genc1
  • 1Department of Thoracic Surgery, Gulhane Military Medical Academy, Ankara, Turkey
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Publikationsverlauf

received April 6, 2007

Publikationsdatum:
26. März 2008 (online)

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Abstract

Background: Pulmonary sequestration is the term used to describe a rare embryonic mass of lung tissue which has no bronchial communication with the normal tracheobronchial tree. Methods: In this study, we reviewed the medical records of 14 patients who underwent surgical resection for pulmonary sequestration between January 1992 and December 2006. Results: Nine patients were symptomatic with recurrent respiratory tract infections and five patients were asymptomatic with a suspected lesion revealed incidentally during imaging investigations for other indications. Pulmonary sequestration was diagnosed with preoperative diagnostic procedures in eight patients and the other six cases were diagnosed after histopathological examination of the resected specimen. All patients were treated surgically. No postoperative complications were observed. Conclusions: We conclude that the optimal treatment of pulmonary sequestration is surgical resection to avoid infection and destruction of the normal pulmonary parenchyma, even in asymptomatic cases. Moreover, in the case of pulmonary infection and the destruction of normal tissue, major resection such as lobectomy or pneumonectomy may be considered, instead of limited resection.

References

MD Orhan Yucel

Department of Thoracic Surgery
Gulhane Military Medical Academy (GMMA)

06018 Ankara

Turkey

Telefon: + 90 31 23 04 51 88

Fax: + 90 31 23 04 51 77

eMail: orhanycl@gmail.com