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Vol. 12. Issue 5.
Pages 489-501 (September - October 2006)
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Vol. 12. Issue 5.
Pages 489-501 (September - October 2006)
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Bronchopulmonary sequestration – A 12-year experience
Sequestro broncopulmonar – Experiência de 12 anos
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Julieta Vieira1,
, Ana Rego1, Ana Oliveira1, Daniela Sá Ferreira1, Antónia Furtado2, António Couceiro3,9, José António Miranda4, Francisco Leal5, Luís Vouga6,8, Raul César Sá7
1 Interna Complementar de Pneumologia do Centro Hospitalar de Vila Nova de Gaia (CHVNG)/Complementary Pulmonology Intern, Centro Hospitalar de Vila Nova de Gaia (CHVNG)
2 Interna Complementar de Anatomia Patológica do CHVNG/Complementary Pathology Intern, CHVNG
3 Director do Serviço de Anatomia Patológica do CHVNG/Director, Pathology Unit, CHVNG
4 Assistente Hospitalar de Cirurgia Cardiotorácica do CHVNG/Hospital Assistant, Cardiothoracic Surgery, CHVNG
5 Assistente Graduado Hospitalar de Cirurgia Cardiotorácica do CHVNG/Graduate Hospital Assistant, Cardiothoracic Surgery, CHVNG
6 Director do Serviço de Cirurgia Cardiotorácica do CHVNG/Director, Cardiothoracic Surgery Unit, CHVNG, Serviço de Cirurgia Cardiotorácica do CHVNG – Cardiothoracic Surgery Unit, CHVNG
7 Serviço de Pneumologia do CHVNG – Pulmonology Unit, CHVNG – Director: Dr. Raul César Sá
8 Serviço de Cirurgia Cardiotorácica do CHVNG – Cardiothoracic Surgery Unit, CHVNG – Director: Dr. Luís Vouga
9 Serviço de Anatomia Patológica do CHVNG – Pathology Unit, CHVNG – Director: Dr. António Couceiro
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Abstract

Bronchopulmonary sequestration (BPS) is a rare malformation of the lower respiratory tract. It consists of a non-functioning mass of lung tissue that lacks normal communication with the tracheobronchial tree and that receives arterial blood supply from the systemic circulation. It is classified as intralobar (ILS) or extralobar (ELS) according to its location within or outside the normal lung. Most sequestrations are intralobar (75%) and occur predominantely in the left lower lobe.

The authors describe a series of 8 cases of BPS in the period between 1994 and 2005, with diagnosis by histologic examination after surgery. Lobectomy was the predominant procedure. The results after surgical treatment were excellent with minimal morbidity.

Keywords:
Bronchopulmonary sequestration
diagnosis
treatment
surgery
Resumo

Sequestro broncopulmonar (SBP), também denominado sequestro pulmonar, define-se como uma malformação congénita do tracto respiratório inferior, consistindo numa porção de tecido pulmonar que não está em normal comunicação com a árvore traqueobrônquica e que recebe suprimento sanguíneo arterial através da circulação sistémica.

Pode classificar-se em sequestro intralobar (SIL) e sequestro extralobar (SEL), dependendo da sua relação com o restante parênquima pulmonar. O SIL é a forma mais comum, correspondendo a cerca de 75% dos sequestros pulmonares.

Os autores descrevem uma série de 8 casos, com diagnóstico anatomopatológico compatível com SBP após cirurgia, no período entre 1994 e 2005. A lobectomia foi o procedimento predominante. Os resultados após tratamento cirúrgico foram excelentes, com morbilidade mínima.

Palavras chave:
Sequestro broncopulmonar
diagnóstico
tratamento
cirurgia
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Bibliography/Bibliografia
[1.]
B.H. Landing, L.G. Dixon.
Congenital malformations and genetic disorders of the respiratory tract (larynx, trachea, bronchi, and lungs).
Am Rev Respir Dis, 120 (1979), pp. 151-185
[2.]
N. Halkic, P.F. Cuénoud, M.E. Corthésy, R. Ksontini, M. Boumghar.
Pulmonary sequestration: a review of 26 cases.
Eur J Cardiothoracic Surg, 14 (1998), pp. 127-133
[3.]
D. Van Raemdonck, K. De Boeck, H. Devlieger, et al.
Pulmonary sequestration: a comparison between pediatric and adults patients.
Eur J Cardiothorac Surg, 19 (2001), pp. 388
[4.]
R.M. Kravitz.
Congenital malformations of the lung.
Pediatr Clin North Am, 41 (1994), pp. 453-472
[5.]
C. Mady, H. Abensur, F. Jatene, A.C.P. Barreto, G. Bellotti, F. Pileggi.
Sequestro intralobar pulmonary. Relato de caso e revisão da literatura.
Arq Bras Cardiol, 49 (1987), pp. 101-104
[6.]
R.E. Scully, J.J. Galdabini, B.U. Mcneely.
Case records of the Massachusetts General Hospital. Case 18-1981.
N Engl J Med, 304 (1981), pp. 1090-1096
[7.]
M.P. Quaglia.
Congenital anomalies.
Thoracic surgery, pp. 411-432
[8.]
P.D. Holder, C. Langston.
Intralobar pulmonary sequestration (a nonentity?).
Pediatr Pulmonol, 2 (1986), pp. 147-153
[9.]
M.M. Levine, D.B. Nudel, N. Gootman, et al.
Pulmonary sequestration causing congestive heart failure in infancy: a report of two cases and review of the literature.
Ann Thorac Surg, 34 (1982), pp. 581
[10.]
V. Avishai, E. Dolev, D. Weissberg, et al.
Extralobar sequestration presenting as massive hemothorax.
Chest, 109 (1996), pp. 843-845
[11.]
M.S. Zach, E. Eber.
Adult outcome of congenital lower respiratory tract malformations.
Thorax, 56 (2001), pp. 65-72
[12.]
H.W. Louie, S.M. Martin, D.G. Mulder.
Pulmonary sequestration: 17-year experience at UCLA.
Am Surg, 59 (1993), pp. 801-805
[13.]
B.S. Clements, J.O. Warner, E.A. Shinebourne.
Congenital bronchopulmonary vascular malformations: clinical application of a simple anatomical approach in 25 cases.
Thorax, 42 (1987), pp. 409
[14.]
J.D. Hang, Q.Y. Guo, L.Y. Chen.
Imaging approach to the diagnosis of pulmonary sequestration.
Acta Radiol, 37 (1996), pp. 883-888
[15.]
J.A. Haller, E.S. Golladay, L.R. Pickard, J.J. Tepas, N.A. Shorter, D.W. Shermeta.
Surgical management of lung bud anomalies: lobar emphysema, bronchogenic cyst, cystic adenomatoid malformation, and intralobar sequestration.
Ann Thorac Surg, 28 (1979), pp. 33-43
Copyright © 2006. Sociedade Portuguesa de Pneumologia
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