Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant

European Journal of Pediatric Surgery Reports

Dilan Prasad¹  Rajeev Prasad¹  Lindsay Grier Arthur¹  Christopher Pennell¹ 

[1] Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, Saint Christopher's Hospital for Children, Philadelphia, Pennsylvania, United States;

关键词: pulmonary sequestration;    transcatheter arterial embolization;    congenital lung malformation;   

DOI  :  10.1055/s-0040-1721043

来源: DOAJ

【 摘 要 】

The most common congenital lung malformations are congenital pulmonary airway malformations and pulmonary sequestrations. Many surgeons advocate resection to prevent complications of infection, malignancy, and pneumothorax. The standard of care is lobectomy, but segmentectomy and embolization alone have been reported. These methods avoid the complications of lobectomy but are not widely practiced due to concerns about incomplete resection or involution of the lesion. We present a novel approach to the treatment of a pulmonary sequestration in a 7-month-old male using preoperative embolization followed by a sublobar pulmonary resection. The embolization clearly demarcated the affected lung intraoperatively, thereby facilitating complete removal of the lesion with a segmental lung resection rather than complete lobectomy.

【 授权许可】

Unknown