Original communication| Volume 81, ISSUE 4, P413-420, April 1977

Pulmonary sequestration in children: A twenty-five year experience

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      Pulmonary sequestration occurs when some disturbance produces a cystic mass of nonfunctioning lung tissue which lacks normal communication with the tracheobronchial tree. In most cases the sequestered pulmonary tissue receives its blood supply from anomalous systemic vessels. This paper considers 15 children, 11 boys and four girls, ranging in age from one day to 14 years, with ten extralobar sequestrations and five intralobar pulmonary sequestrations. Although roentgenographic examination of the chest may suggest the diagnosis, conclusive diagnosis can only be obtained by arteriography and/or surgical exploration. Arteriography is strongly advocated in all cases, not only for its diagnostic value, but for its preoperative localization of the aberrant blood vessels that are the major technical concern to the surgeon.
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        • Asp K.
        • Pasela M.
        • Sulamaa M.
        Diagnosis and treatment of pulmonary sequestration.
        Acta Chir. Scand. 1964; 127: 303
        • Avery M.E.
        The Lung and its disorders in the newborn infant.
        in: Major problems in clinical pediatrics. Vol. I. The W. B. Saunders Company, Philadelphia, London, Toronto1968: 118-120
        • Boyd G.
        Intralobar pulmonary sequestration.
        Dis. Chest. 1953; 24: 162
        • Boyden E.A.
        Bronchogenic cysts and the theory of intralobar sequestration: New embryologic data.
        J. Thorac. Surg. 1958; 35: 604
        • Boyden E.A.
        • Bill A.H.
        • Creighton S.A.
        Presumptive origin of a left lower accessory lung from an esophageal diverticulum.
        Surgery. 1962; 52: 323
        • Bruwer A.
        Intralobar bronchopulmonary sequestration.
        Am. J. Surg. 1955; 89: 1035
        • Carter R.
        Pulmonary sequestration (collective review).
        Ann. Thorac. Surg. 1969; 7: 66
        • Cole F.H.
        • Alley F.H.
        • Jones R.S.
        Aberrant systemic arteries to the lower lungs.
        Surg. Gynecol. Obstet. 1951; 93: 589
        • Davidson J.S.
        A case of congenital esophageal diverticulum, lower accessory lobe, and esophagobronchial fistula.
        Br. J. Surg. 1956; 43: 417
        • Dehner L.P.
        Mediastinum, lungs, and cardiovascular system.
        in: Pediatric surgical pathology. The C. V. Mosby Company, St. Louis1975: 199-202
        • deParedes C.G.
        • Pierce W.S.
        • Johnson D.G.
        • et al.
        Pulmonary sequestration in infants and children: A 20 year experience and review of the literature.
        J. Pediatr. Surg. 1970; 5: 136
        • Eppinger H.
        • Schauenstein W.
        Krankbeiten der Lungen.
        Ergeb. Allg. Pathol. 1902; 8: 267
        • Flint J.M.
        Development of the lung.
        Am. J. Anat. 1906–1907; 6: 1
        • Gans S.L.
        • Potts W.J.
        Anomalous lobe of lung arising from the esophagus.
        J. Thorac. Surg. 1951; 21: 313
        • Gebauer P.W.
        • Mason C.B.
        Intralobar pulmonary sequestration associated with anomalous pulmonary vessels: A nonentity.
        Dis. Chest. 1959; 30: 282
        • Gerard F.P.
        • Lyons H.A.
        Anomalous artery in intralobar bronchopulmonary sequestration: Report of two cases demonstrated by angiography.
        N. Engl. J. Med. 1958; 259: 662
        • Gerle R.D.
        • Jaretzki A.
        • Ashley C.A.
        • et al.
        Congenital bronchopulmonary-foregut malformation.
        N. Engl. J. Med. 1968; 278: 1413
        • Gruenfeld G.E.
        • Gray S.H.
        Malformation of the lung.
        Arch. Pathol. 1941; 31: 392
        • Halasz N.A.
        • Lindskog G.E.
        • Liebow A.A.
        Esophageal fistula and bronchopulmonary sequestration.
        Ann. Surg. 1962; 155: 215
        • Harris H.A.
        • Lewis I.
        Anomalies of the lungs with special reference to the danger of abnormal vessels in lobectomy.
        J. Thorac. Surg. 1940; 9: 666
        • Huber J.J.
        Observationes aliquot de arteria singulari pulmoni concessa.
        Acta Helvet. 1777; 8: 85
        • Iwai K.
        • Shindo G.
        • Hajikano H.
        • et al.
        Intralobar pulmonary sequestration, with special reference to developmental pathology.
        Am. Rev. Respir. Dis. 1973; 107: 911
        • Kennedy L.J.
        • Eyler W.R.
        Preoperative diagnosis of sequestration of the lung by aortography.
        J. A. M. A. 1956; 160: 1464
        • Kergin F.G.
        Congenital cystic disease of the lung associated with anomalous arteries.
        J. Thorac. Surg. 1952; 23: 55
        • Lemmon M.L.
        • Kirklin J.W.
        • Dockerty M.B.
        Intralobar bronchopulmonary sequestration studied by multicolored vinyl acetate cast: Report of a case.
        in: Proc. Staff Meet. Mayo Clin. 29. 1954: 631
        • LeRoux B.T.
        Intralobar pulmonary sequestration.
        Thorax. 1962; 17: 77
        • Louw J.H.
        • Cywes S.
        Extralobar pulmonary sequestration communicating with the esophagus and associated with a strangulated congenital diaphragmatichernia.
        Br. J. Surg. 1962; 50: 102
        • Mahour G.H.
        • Woolley M.M.
        • Payne Jr., V.C.
        Association of pulmonary sequestration and duplication of the stomach.
        Int. Surg. 1971; 56: 224
        • Potter E.L.
        Pathology of the fetus and the newborn.
        in: Year Book Medical Publishers, Inc, Chicago1952: 574
        • Pryce D.M.
        Lower accessory pulmonary artery with intralobar sequestration of the lung.
        J. Pathol. 1946; 58: 457
        • Ranniger K.
        • Valvassori G.E.
        Angiographic diagnosis of intralobar pulmonary sequestration.
        Am. J. Rosentgenol. Radium Ther. Nucl. Med. 1964; 92: 540
        • Rektorzik E.
        Ueber Accessorischen Lungenlappen.
        Wochenbl. Z. Aerzte Wien. 1861; 17: 4
        • Ribaudo C.
        • Rossi P.
        • Comer J.V.
        Intralobar bronchopulmonary sequestration demonstrated by aortography and selective arteriography of the anomalous vessel.
        Ann. Intern. Med. 1966; 64: 381
        • Rokitansky C.
        Lehrbuch der Pathologischen Anatomie. 1861; (ed. 3, Wien, Vienna): 44
        • Rubin E.H.
        Intralobar pulmonary sequestration: Angiographic demonstration.
        Dis. Chest. 1966; 50: 561
        • Simopoulos A.P.
        • Rosenblum D.J.
        • Mazumdar H.
        • et al.
        Intralobar bronchopulmonary sequestration in children.
        Am. J. Dis. Child. 1959; 97: 797
        • Smith R.A.
        Theory of origin of intralobar sequestration.
        Thorax. 1956; 11: 10
        • Solit R.W.
        • Fraimow W.
        • Wallace S.
        • et al.
        The effect of intralobar pulmonary sequestration on cardiac output.
        J. Thorac. Cardiovasc. Surg. 1965; 49: 844
        • St. Raymond A.H.
        • Hardy J.D.
        • Robbins S.G.
        Lower accessory lung communicating with the esophagus and associated with congenital diaphragmatic hernia.
        J. Thorac. Surg. 1956; 31: 354
        • Takahashi M.
        • Ohno M.
        • Mihara K.
        • et al.
        Intralobar pulmonary sequestration. With special emphasis on bronchial communication.
        Radiology. 1975; 114: 543
        • Turk L.N.
        • Lindskog G.E.
        Importance of angiographic diagnosis in intralobar pulmonary sequestration.
        J. Thorac. Cardiovasc. Surg. 1961; 41: 299
        • Wyman S.M.
        • Eyler W.R.
        Anomalous pulmonary artery from the aorta associated with intrapulmonary cysts: Its roentgenologic recognition and clinical significance.
        Radiology. 1952; 59: 658