Korean J Thorac Cardiovasc Surg.  1997 Feb;30(2):226-230.

Bilateral Intralobar Pulmonary Sequestration with Horseshoe Lung: A new suggestion about the treatment of pulmonary sequestration

• Park CB
• Kim YH
• Lee ES
• Kim DK
• Park SI
• Sohnz KH

Abstract

This is a case report of surgical management of a bilateral intralobar pulmonary sequestration with horseshoe lung presenting with frequent URI with productive sputum. Simple chest X-ray showed pneumonic consolidation and infiltration on both lower lobes, and chest CT revealed multiple cystic lesions compatible with pulmonary sequestration. The aortography demonstrated two anomalous systemic arteries arising from the thoracic aorta just above the diaphragm to both sequestrums. Left lower lobectomy was performed through the left thoracotomy with ligations and divisions of the both systemic feeding arteries to the left and right sequestrum, and division of the isthmic portion of horseshoe lung without removal of right sequestrum. The patient was discharged on the postoperative 10th day and followed-up till now without any sequelae and symptoms of residual right sequestration. The recent follow-up chest CT 5 months after the operation revealed spontaneous regression of the residual right sequestrum. Authors would suggested that only division of aberrant artery to sequestrum without lobectomy may be applied in uncomplicated case of intrapulmonary sequestration.

Keyword

Pulmonary sequestration; intralobar; Lung anomaly

MeSH Terms

Aorta, Thoracic
Aortography
Arteries
Bronchopulmonary Sequestration*
Diaphragm
Follow-Up Studies
Humans
Ligation
Lung*
Sputum
Thoracotomy
Thorax
Tomography, X-Ray Computed