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J Thorac Cardiovasc Surg 2003;126:872-873
© 2003 The American Association for Thoracic Surgery

Brief communications

Intralobar sequestration: a rare cause of severe hemothorax

^a Department of Cardiothoracic Surgery, General Hospital Klagenfurt, Klagenfurt, Austria
^b Radiology Department, General Hospital Klagenfurt, Klagenfurt, Austria

Received for publication January 15, 2002; accepted for publication January 14, 2003.

^* Address for reprints: W. Wandschneider, MD, General Hospital Klagenfurt, St Veiter Strasse 47, A-9020, Klagenfurt, Austria/Europe
wolfgang.wanderschneider@Lkh-Klu.at

The first 20% of the full text of this article appears below.

A 22-year-old male patient was admitted to our emergency room with signs of severe hemorrhagic shock. Hemotocrit was 7.5% and red blood cell count was 2.7 million. After hemodynamic stabilization with plasma expanders and 3 units of packed red cells, the patient gave a history of sudden severe pain in the left hemothorax with dyspnea and growing dizziness. There was no trauma or signs of infection, no cough, and no hemoptysis. Emergency chest radiography showed an opaque left hemothorax with slight shifting of the mediastinum to the right.

Computed tomography (CT) scan showed pleural effusion in the left thoracic cavity and a mass in the median left lower lobe, which was suspicious of an intralobar sequestration. We therefore performed an angiography to assess the presence of this malformation and find the feeding vessel. . . . [Full Text of this Article]

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