HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Jeymi Tambiah Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Datta, G. Articles by Lang-Lazdunski, L. Search for Related Content PubMed PubMed Citation Articles by Datta, G. Articles by Lang-Lazdunski, L. Related Collections Mediastinum Great vessels

J Thorac Cardiovasc Surg 2006;132:1239-1240
© 2006 The American Association for Thoracic Surgery

Brief Communication

Atypical presentation of extralobar sequestration with absence of pericardium in an adult

Department of Thoracic Surgery, Guy's Hospital, London, United Kingdom.

Received for publication April 1, 2006; revisions received April 3, 2006; accepted for publication May 17, 2006.

^_* Address for reprints: Loïc Lang-Lazdunski, MD, PhD, FRCS, Department of Thoracic Surgery, Guy's Hospital, St Thomas St, London SE1 9RT, United Kingdom. (Email: loic.lang-lazdunski@gstt.nhs.uk).

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

Extralobar sequestration (ELS) is a rare congenital lesion of the lung. We report a case of ELS with concurrent absence of left pericardium presenting in an adult as an anterior mediastinal mass.

Clinical Summary

A 32-year-old man presented with a 3-week history of anterior chest discomfort. He denied any weight loss, night sweats, or fever. Clinical examination was unremarkable. Chest radiography and computed tomography (CT) revealed a cystic mass in the left anterior mediastinum (80 x 80 x 70 mm) in close proximity to the pulmonary trunk (Figure 1). Tumor markers, including -fetoprotein, ß-human chorionic gonadotropin, and lactate dehydrogenase, were normal. A bronchogenic cyst or a thymic cyst was suspected. A CT-guided biopsy was performed but was inconclusive. The patient was referred to our department for biopsy or excision of the lesion.

View larger version (153K): [in this window] [in a new window]   Figure 1. Chest computed tomographic scan showing a left-sided mediastinal mass in close proximity to the pulmonary artery. There is a small vessel containing the left pulmonary artery with the mass (arrow).

This article has been cited by other articles:

				T. Osaki, M. Kodate, T. Takagishi, M. Nomi, J. Murakami, and H. Yamamoto Unique Extralobar Sequestration With Atypical Location and Aberrant Vessels Ann. Thorac. Surg., November 1, 2010; 90(5): 1711 - 1712. [Abstract] [Full Text] [PDF]

				M. B. Shadmehr, H. R. Jamaati, B. Saidi, M. Tehrai, and M. Arab Extralobar Sequestration in Anterior Mediastinum With Pericardial Agenesis Ann. Thorac. Surg., July 1, 2009; 88(1): 291 - 293. [Abstract] [Full Text] [PDF]