The Annals of Thoracic Surgery, Vol 20, 161-169, Copyright © 1975 by The Society of Thoracic Surgeons
Pulmonary sequestration. A broad spectrum of bronchopulmonary foregut abnormalities
GL Zumbro, RL Treasure, G Seitter, TE Strevey, W Brott and DC Green
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.