pulmonary sequestration
(redirected from Sequestration of lung)sequestration
[se″kwes-tra´shun]1. abnormal separation of a part from a whole, as a portion of a bone by a pathologic process, or a portion of the circulating blood in a specific part occurring naturally or produced by application of a tourniquet.
2. isolation of a patient.
pulmonary sequestration loss of connection of lung tissue, and sometimes bronchi, with the bronchial tree and pulmonary veins, the tissue receiving its arterial supply from the systemic circulation. It may be completely separated anatomically and physiologically from normally connected lung (extralobar) or contiguous to and partly surrounded by normal lung (intralobar). Called also accessory lung.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
pulmonary sequestration
An uncommon–1:1000 adult lobectomy specimens congenital anomaly characterized by misplaced lung parenchyma, which lacks normal communication with the main tracheobronchial tree that may be intralobar or extralobar Pulmonary sequestration
Intralobar Extralobar
Separate pleura No Yes
Location Posterior basilar Above or below diaphragm
Age of onset 50% > 20 years 60% < one year
Symptoms Recurrent pneumonia Respiratory distress
Laterality 60% left 90% left
♂:♀ ratio 1:1 4:1
Other defects Uncommon > 50%, eg diaphragmatic
defects, tuberous sclerosis
Bronchial
communication Uncommon, small None
communication Uncommon, small None
Arterial supply Systemic; single aorta Systemic; multiple, small
Venous drainage Inferior pulmonary Systemic; azygous and
vein hemiazygous vein
vein hemiazygous vein
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
pulmonary sequestration
A nonfunctioning area of the lung that receives its blood supply from the systemic circulation.
See also: sequestration
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