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Ann Thorac Surg 1976;22:478-482
© 1976 The Society of Thoracic Surgeons

Articles

Spectrum of Pulmonary Sequestration

M. Wayne Flye, M.D., Martin Conley, M.D., Donald Silver, M.D.*

From the Department of Surgery, Duke University Medical Center, Durham, NC

Accepted for publication January 12, 1976.

* Address reprint requests to Dr. Silver, Department of Surgery, University of Missouri School of Medicine, Columbia, MO 65201

Bronchopulmonary sequestration was diagnosed in 17 patients ranging in age from newborn to 64 years. The sequestration was intralobar in 14 patients and extralobar in 3. The spectrum of symptoms could be divided into three patterns: no symptoms (6 patients), respiratory problems (8 patients), and cardiovascular problems (3 patients). Cardiovascular problems usually manifest themselves in the first few weeks or months of life and often have a respiratory component. In older patients the sequestration is first manifested by recurrent pulmonary infections or, if it remains uninfected, an asymptomatic density on chest roentgenogram.

The definitive diagnostic study is arteriography. Operative treatment for the intralobar variety consists of segmental resection or, if the inflammatory process is more extensive, lobectomy. An extralobar sequestration may simply be excised.




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