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J Thorac Cardiovasc Surg 2004;128:778-779
© 2004 The American Association for Thoracic Surgery

Brief communication

A rare case of extralobar sequestration with hemoptysis

Yukio Sato, MD, PhDa,*, Shunsuke Endo, MD, PhDa, Noriko Saito, MDa, Shinichi Otani, MDa, Tsuyoshi Hasegawa, MDa, Yasunori Sohara, MD, PhDa

a Division of Thoracic Surgery, Department of Surgery, Jichi Medical School, Minamikawachi, Tochigi, Japan

Received for publication February 12, 2004; accepted for publication March 4, 2004.

* Address for reprints: Yukio Sato, MD, PhD, Division of Thoracic Surgery, Department of Surgery, Jichi Medical School, 3311-1 Minamikawachi, Kawachi, Tochigi 329-0498, Japan
tcvysato@jichi.ac.jp

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

Pulmonary sequestration is an uncommon type of foregut malformation characterized by nonfunctioning abnormal pulmonary parenchyma that has no connection with the tracheobronchial airway and receives its blood supply from a systemic artery.1 Two different forms have been described: intralobar sequestration is localized within the normal pulmonary parenchyma, whereas extralobar sequestration is totally separate from the lung and has a distinct pleural covering. Extralobar sequestration has no communication with the airway, and the chance of it becoming symptomatic in adults is very small. We present herein a case of extralobar sequestration that caused hemoptysis.

Clinical summary

A 46-year-old woman, previously in good health, was admitted to our hospital because of a 2-week history of recurrent hemoptysis. No abnormalities were detected on chest roentgenography. Chest computed tomographic scanning (Figure 1) revealed a plate-like consolidation behind the right lower lobe and a string-like structure between the consolidation and the descending aorta, which were suspected as a pulmonary . . . [Full Text of this Article]






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