pulmonary sequestration


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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.

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
Arterial supply  Systemic; single aorta Systemic; multiple, small
Venous drainage Inferior pulmonary Systemic; azygous and
        vein          hemiazygous vein

pulmonary sequestration

A nonfunctioning area of the lung that receives its blood supply from the systemic circulation.
See also: sequestration
References in periodicals archive ?
A case of pulmonary sequestration with aspergillus species infection presenting as an enlarged right paratracheal mass.
Pulmonary sequestration supplied by a coronary artery.
Pulmonary sequestration and related congenital bronchopulmonary malformations: nomenclature and classification based on anatomical and embryologic considerations.
Pulmonary sequestration. Paediatr Respir Rev 2004; 5: 59-68.
Sometimes extremely rare diseases can mimic common illnesses as in this case but a very high index of suspicion is required to diagnose such rare disorders like pulmonary sequestration.
The multiple facets of pulmonary sequestration. J Pediatr Surg 2001; 36: 784-90.