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Robert L. Treasure
Girard Seitter
Tracy E. Strevey
Walter Brott
David C. Green
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Ann Thorac Surg 1975;20:161-169
© 1975 The Society of Thoracic Surgeons

Articles

Pulmonary Sequestration

A Broad Spectrum of Bronchopulmonary Foregut Abnormalities

George L. Zumbro, Lt Col*, Robert L. Treasure, Col, Girard Seitter, Lt Col, Tracy E. Strevey, Col, Walter Brott, Col, David C. Green, Col, all MC USA

From the Cardiothoracic Surgery Services, Brooke Army Medical Center, Fort Sam Houston, Tex., Walter Reed Army Medical Center, Washington, D.C., and Fitzsimons Army Medical Center, Denver, Colo.

* Address reprint requests to Dr. Zumbro, Cardiothoracic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, Tex. 78234.

We believe the broad clinical, embryological, and radiological spectrum of pulmonary sequestration has not been adequately emphasized. In order to gain clearer understanding of these foregut abnormalities, all cases from the files of three Army Medical Centers were reviewed. Thirty-two patients, the largest single series in the literature, met the criteria for a diagnosis of bronchopulmonary sequestration.

Clinical manifestations varied from no symptoms to recurrent pulmonary infection, hemoptysis, and intrapleural hemorrhage. The presence of symptoms strongly correlated (23/32) with air-containing cystic sequestrations.

The embryological and radiological spectra as well as appropriate operative therapy are reviewed.




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