Diagnosis and surgical treatment of pulmonary sequestration

Abstract

To investigate the classification, incidence, clinical characteristics, diagnosis and surgical treatment of pulmonary sequestration. The clinical data of 23 patients with pulmonary sequestration, 13 males and 10 females, aged 39 (12 - 71), with a course of 3 days to 9 years, hospitalized during the period from May 1974 to November 2006, were reviewed retrospectively. The cases of sequestration were presents which were resected and confirmed by pathology in our department. The incident rate of pulmonary sequestration was 0.29% among the patients who underwent operation during that period. Nineteen (83%) of the 23 patients suffered from interloper pulmonary sequestration and 4 suffered from extralobar pulmonary sequestration. Eighteen of the 23 patients had recurrent pneumonia with the clinical manifestations of cough, fever, and hemoptysis. Fourteen cases got confirmed diagnosis before operation. The diagnosis of pulmonary sequestration mainly depends on X-ray, CT and MRI. The sequestration should be removed whenever it is diagnosed.