• Journal of Chest Surgery
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• 제27권3호
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• pp.241-243
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• 1994

This is a case report of extralobar pulmonary sequestration with bronchogenic cyst located in aorto-pulmonary window area of left thorax in a 17 months old male patient. In this case, a bronchogenic cyst was presented immediately adjacent to the extralobar pulmonary sequestration. Communication between the extralobar pulmonary sequestration and bronchogenic cyst was not seen grossly or microscopically. The lesion was simply excised and the postoperatively course was uneventful.

• Journal of Chest Surgery
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• 제15권1호
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• pp.27-34
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• 1982

Pulmonary sequestration Is an unusual congenital malformation characterized by the presence of nonfunctioning lung tissue which usually has no communication with the normal bronchial tree and which receives its blood supply from an anomalous systemic artery instead of a pulmonary arterial branch. Two forms of pulmonary sequestration occur: Intralobar sequestration, in which the abnormal pulmonary tissue is incorporated within the normal lung and shares a common covering of visceral pleura, and extralobar sequestration, in which the abnormal pulmonary tissue is separated from the normal lung and has its own pleural investment. Since 1970, five cases of pulmonary sequestration were operated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University. 1. Among five cues, one was male and the others were female. 2. All were intralobar type and involved left lower lobe. 3. There was no operative mortality following left lower lobectomy and ligation of the aberrant artery.

• Journal of Chest Surgery
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• 제19권4호
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• pp.726-730
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• 1986

Intralobar pulmonary sequestration is a rare congenital malformation characterized by a cystic portion of the lung that derives its arterial blood supply through aberrant vessel directly of systemic circulation. Two forms of pulmonary sequestration occur; intralobar sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We presented on case of intralobar pulmonary sequestration with A-V fistula. The patient was 8 years old male and chief complaints are mild fever and exertional dyspnea. Aortogram revealed an aberrant artery originated from thoracic aorta just above the diaphragm and its vessel directly communicated pulmonary vein in sequestrated segment. At time of operation, sequestrated lobe measuring 6x5x5cm, well demarcated at the lower lobe was noted. Aberrant, measuring 1.0cm in diameter and 1cm in length and directly connected pulmonary vein. After division and ligation of the aberrant artery, only excision of sequestrated lobe was performed and complication is not during postoperative course.

• Journal of Chest Surgery
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• 제25권10호
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• pp.1070-1075
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• 1992

Bilateral intralobar and extralobar pulmonary sequestration is an extremely rare anomaly. At present, four pathologically proven cases and two possible cases have been reported in the literature insofar as we know. We have found no previous reports in the literature in which simultaneous bilateral intralobar and extralobar pulmonary sequestration were present. We report a first case presenting as bilateral intralobar and extralobar pulmonary sequestration, recently performed staged bilateral resection, and emphasize the importance of computed tomography and angiography in diagnosis and operation.

• Journal of Chest Surgery
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• 제6권2호
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• pp.159-164
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• 1973

Bronchopulmonary sequestration is a congenital malformation characterized by a cystic portion of the lung that derives its arterial blood supply through anomalous aberrant vessel directly of the systemic circulation. An aberrant systemic vessel supplying the lung was reported by Huber in 1777. Although this lesion is uncommon disorder, there are several reports on operative death caused by exanguinating hemorrhage from the aberrant arteries to the bronchopulmonary sequestration to that it has received a great deal of attention. Two type of bronchopulmonary sequestration have been identified: Intralobar pulmonary sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. Extrapulmonary sequestration is usually within the pleural sheath its own and its vasculature drains into the azygos or hemiazygos system. we presented one case of intralobar pulmonary sequestration which led to motor paralysis, chylothorax and hemorrhage that are consequent on postoperative complication.

• Journal of Chest Surgery
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• 제28권6호
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• pp.596-600
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• 1995

A total of 21 patients with pulmonary sequestration who had undergone surgical treatment were reviewed at the department of thoracic and cardiovascular surgery of catholic university medical college from May 1983 through May 1993. The pulmonary sequestration was intralobar in 19 patients, and extralobar in 2 patients. There were 17 woman and 4 man ranging of age from 17 months to 48 years with a mean age of 21.3 years. Clinical manifestations were varied from no symptom[3 cases to recurrent pneumonia[15 cases , and hemoptysis[3 cases . Preoperative diagnosis was correct in only 6 cases[29% of the 21 patients of pulmonary sequestration . The left lower lobe[11 cases is most often affected in intralobar sequestration. The aberrant artery in intralobar sequestration originated in 13 cases[68% of 19 cases from descending aorta. 15 of the 19 patients of intralobar type underwent lobectomy. The extralobar sequestration[2 cases were simply excised. There was no mortality and no complication.

• Tuberculosis and Respiratory Diseases
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• 제72권6호
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• pp.507-510
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• 2012

Carbohydrate antigen 19-9 (CA19-9) is a specific tumor marker of the biliary, pancreatic and gastrointestinal tracts. CA19-9 is occasionally elevated in serum in patiens with benign pulmonary diseases such as bronchiectasis, idiopathic interstitial pneumonia or collagen disease-associated pulmonary fibrosis. Intralobar pulmonary sequestration is an uncommon congenital lung anomaly. It is dissociated from the normal tracheobronchial tree and is supplied by an anomalous systemic artery. There have been some reports of elevation of CA19-9 in this lesion. We report a case of intralobar pulmonary sequestration with elevated serum CA19-9 in a 29-year-old man who was diagnosed with bronchiectasia of left lower lung field on general check up. He had no evidence of any malignant disease in pancreatobiliary or gastrointestinal tracts. Elevated serum CA19-9 level might be encountered with benign pulmonary disease such as pulmonary sequestration.

• Journal of Chest Surgery
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• 제49권6호
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• pp.475-477
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• 2016

Elevated carbohydrate antigen (CA) 19-9 can indicate malignancies of the gastrointestinal, pancreatic, and biliary tracts, and be found in a pulmonary sequestration. A 30-year-old man visited Seoul National University Bundang Hospital due to elevated CA 19-9 levels, representing pulmonary sequestration of the bilateral lower lobes, which were connected with each other. We performed left lower lobectomy and division of the systemic arteries. After operation, CA 19-9 levels decreased to normal range, even though a small amount of sequestrated lung remained in the right lower lobe. It is not uncommon that presence of pulmonary sequestration might elevate serum CA 19-9 levels; however, horseshoe type bilateral pulmonary sequestration is very rare.

• Journal of Chest Surgery
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• 제34권6호
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• pp.502-505
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• 2001

폐격리증은 정상 기관지와 교통이 없으며, 기형동맥으로부터 혈류공급을 받는 비정상적인 폐조직이다. 해부학적으로 내엽형 폐격리증과 외엽형 폐격리증으로 구분된다. 외엽형 폐격리증은 대부분 폐하엽과 횡격막사이에 존재하며, 체순환계로부터 동맥혈 공급을 받아 체순환계로 정맥혈 환류가 이루어지고, 대부분의 환자는 유아기에 진단된다. 48세 성인여성에서 우측 상엽과 하엽 사이에 존재하며 폐동맥으로부터 혈류공급을 받아 좌심방으로 직접 유입되는 외엽형 폐격리증이 있어 이를 보고하고자 한다

• Journal of Chest Surgery
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• 제26권11호
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• pp.894-898
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• 1993

Pulmonary sequestration is an uncommon congenital pulmonary malformations characterized by presence of nonfunctioning lung tissue which receives its blood supply mostly from the anomalous systemic arteries. We have experienced a 30 year old male patient with a mediastinal mass complaining of intermittent chest pain, and the mass was histologically confirmed as extralobar pulmonary sequestration. The anomalous blood supply origined from the right pulmonary artery but there was no communication with the tracheobronchial tree. He underwent operation through midsternotomy incision for the purpose of concurrent resection of enlarged thymus noted on chest CT.