Abstract
Sixteen cases of pulmonary sequestration treated at the Brompton Hospital and Great Ormond Street Hospital are presented. These demonstrate the wide range of anatomical features found in this condition together with the high incidence of associated congenital lesions - especially diaphragmatic and cardio-vascular anomalies. Excluding young infants with significant haemodynamic problems pre-operatively, our operative mortality for the series is nil. However a review of the literature involving similar patients reveals an unacceptably high mortality (up to 20% in some series). These are usually due to unexpected vascular complications occuring when surgery is performed without accurate pre-operative assessment. The current terminology of intralobar and extralobar sequestration fails to describe the lesion adequately and alert the surgeon to the full range of pathology present. We propose a more definitive clasification describing the essential anatomical features, namely, tracheo-bronchial connection, arterial supply and venous drainage of the affected area. It is hoped that this approach will encourage accurate pre-operative assessment thereby reducing the current unacceptable surgical mortality.
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Clements, B., Warner, J., Stark, J. et al. A DEFINITIVE ANATOMICAL CLASSIFICATION OF PULMONARY SEQUESTRATION: REVIEW OF 16 CASES. Pediatr Res 19, 1093 (1985). https://doi.org/10.1203/00006450-198510000-00144
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DOI: https://doi.org/10.1203/00006450-198510000-00144