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Ann Thorac Surg 2009;88:291-293. doi:10.1016/j.athoracsur.2008.12.037
© 2009 The Society of Thoracic Surgeons
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Case Reports

Extralobar Sequestration in Anterior Mediastinum With Pericardial Agenesis

Mohammad Behgam Shadmehr, MDa,*, Hamid Reza Jamaati, MD, FCCPb, Bahare Saidi, MDa, Mahmood Tehrai, MDc, Mehrdad Arab, MDa

a Department of Surgery, Atieh Hospital, Shahrake Ghods, Tehran, Iran
b Department of Pulmonary Medicine, Day General Hospital, Tehran, Iran
c Department of Radiology, Day General Hospital, Tehran, Iran

Accepted for publication December 5, 2008.

* Address correspondence to Dr Shadmehr, Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Disease (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Shahid Bahonar Ave, Darabad, Tehran, 19569-44413, Iran (Email: mbshadmehr{at}sbmu.ac.ir).

We report a very rare case of extralobar sequestration and pericardial agenesis in a 22-year-old man. A computed tomographic (CT) scan demonstrated an anterior mediastinal mass. No aberrant artery was preoperatively identified. The patient underwent surgery with an impression of thymoma. An extralobar sequestration receiving its blood supply from the left pulmonary artery, accompanied with pericardial agenesis, was noted at the time of operation. The anterior mediastinum is an unusual site for extralobar sequestions. It is recommended to include extralobar sequestration in the differential diagnosis of anterior mediastinal masses, even if the aberrant artery is not recognized on the computed tomographic scan.






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