A case of intralobar pulmonary sequestration connected to the normal bronchial system

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 16; no. 2; pp. 138 - 143
• Main Authors: Yatsuyanagi, Eiji, Kusajima, Katsuyuki, Suzuki, Takayasu, Sakurada, Taku
• Format: Journal Article
• Language: English
• Published: The Japanese Association for Chest Surgery 2002
• Subjects: aberrant artery; celiac artery; intralobar pulmonary sequestration
• ISSN: 0919-0945; 1881-4158
• DOI: 10.2995/jacsurg.16.138

A 29-year-old female was admitted to our hospital to investigate recurrent respiratory infection. Chest radiography and CT revealed multiple cystic lesions in the left lower lobe. Bronchofiberscopic findings demonstrated a normal bronchial tree. Although the cystic lesions seemed clinically connected to the normal bronchial tree, she was diagnosed with pulmonary sequestration due to an aberrant artery originating from the celiac artery. Left lower lobectomy was performed through anterolateral thoracotomy, as we anticipated pleural adhesions and difficulties separating the sequestrated segment from normal lung. The postoperative course was uncomplicated. Examination of the surgical specimen revealed that blood flow from the aberrant artery was returned to the pulmonary vein, and there were no obstructions or deficiencies in the bronchial and pulmonary arterial systems. We concluded that this case was a type III intralobar pulmonary sequestration originating from an accessory lung bud, and the sequestrated segment became connected to the normal bronchial tree through the activity of severe infection.