폐격리증의 임상양상
Clinical Manifestations of Pulmonary Sequestration
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Purpose:Pulmonary sequestration is characterized by a mass of non-functioning pulmonary tissue lacking normal communication with the tracheobronchial tree and receiving an aberrant systemic arterial blood supply. Two types have been described:intralobar and extralobar. Symptoms vary from the incidental finding of a mass to recurrent bronchitis or pneumonia, chest pain and hemoptysis. In this study, we evaluated clinical features and outcomes of pulmonary sequestration. Methods:The records of the patients diagnosed with pulmonary sequestration by thoracic computerized tomography and aortography between January 1997 and July 2007 were retrospectively reviewed. Results:Fourteen patients (6 males and 8 females) with an median age of 5.5 years in children, 35 years in adults were diagnosed with pulmonary sequestration. Nine patients had clinical symptoms including recurrent respiratory infections, chest pain and hemoptysis. Six patients were symptom free. The aberrant arteries originated from descending thoracic aorta in 12 cases, abdominal aorta in 2 cases, inferior phrenic artery in 1 case. Thirteen patients received surgical operations with open thorax in 11 patients and with video-assisted thoracotomy surgery (VATs) in 2 cases recently diagnosed. Eleven cases (84.6%) were found to be of intralobar type and 2 cases (15.4%) were of extralobar type. One patient had bilateral pulmonary sequestration. All patients with preoperative symptoms improved after surgical treatment. Conclusion:The patients who presented with recurrent pneumonia in the same site, hemoptysis and chest pain should be studied to rule out pulmonary sequestration.
Abstract
Purpose:Pulmonary sequestration is characterized by a mass of non-functioning pulmonary tissue lacking normal communication with the tracheobronchial tree and receiving an aberrant systemic arterial blood supply. Two types have been described:intralobar and extralobar. Symptoms vary from the incidental finding of a mass to recurrent bronchitis or pneumonia, chest pain and hemoptysis. In this study, we evaluated clinical features and outcomes of pulmonary sequestration. Methods:The records of the patients diagnosed with pulmonary sequestration by thoracic computerized tomography and aortography between January 1997 and July 2007 were retrospectively reviewed. Results:Fourteen patients (6 males and 8 females) with an median age of 5.5 years in children, 35 years in adults were diagnosed with pulmonary sequestration. Nine patients had clinical symptoms including recurrent respiratory infections, chest pain and hemoptysis. Six patients were symptom free. The aberrant arteries originated from descending thoracic aorta in 12 cases, abdominal aorta in 2 cases, inferior phrenic artery in 1 case. Thirteen patients received surgical operations with open thorax in 11 patients and with video-assisted thoracotomy surgery (VATs) in 2 cases recently diagnosed. Eleven cases (84.6%) were found to be of intralobar type and 2 cases (15.4%) were of extralobar type. One patient had bilateral pulmonary sequestration. All patients with preoperative symptoms improved after surgical treatment. Conclusion:The patients who presented with recurrent pneumonia in the same site, hemoptysis and chest pain should be studied to rule out pulmonary sequestration.
참고문헌 (33)
- Weinbaum PJ, "Antenatal sonographic findings in a case of intra-abdominal pulmonary sequestration", Obstet Gynecol, 73, pp.860~862 (1989)
- Savic B, "Lung sequestration:Report of seven cases and review of 540 published cases", Thorax, 34, pp.96~101 (1979)
- Corbett HJ, "Pulmonary sequestration", Paediatr Respir Rev, 5, pp.59~68 (2004)
- Van Raemdonck DE, "Pulmonary sequestration: a comparision btween pediatric and adult patients", Eur J Cardiothorac Surg, 19, pp.388~395 (2001)
- Carter R, "Pulmonary sequestration", Ann Thorac Surg, 7, pp.68~ (1969)
- Sim SB, "Surgical experience of pulmonary sequestration -21 cases-", Korean J Thorac Cardiovasc Surg, 28, pp.596~600 (1995)
- Kwang JP, "Clinical manifestations of 15 cases of pulmonary sequestration", Tuberc Respir Dis, 44, pp.401~408 (1997)
- Peter B, "Thoracoscopic treatment of pulmonary sequestration", Eur J Cardiothorac Surg, 29, pp.815~818 (2006)
- Gerard P, "Intralobar sequestration in the middle-aged and elderly adult: Recognition and radiographic evaluation", J Thorac Cardiovasc Surg, 9, pp.2086~2090 (2003)
- Turk L, "The importance of angiographic diagnosis in intralobar pulmonary sequestration", J Thorac Cardiovasc Surg, 41, pp.299~305 (1961)
- Gustafson R, "Intralobar sequestion: a missed diagnosis", Ann Thorac Surg, 47, pp.841~847 (1989)
- Weinbaum PJ, "Antenatal sonographic findings in a case of intra-abdominal pulmonary sequestration", Obstet Gynecol, 73, pp.860~862 (1989)
- Collin PP, "Pulmonary sequestration", J Pediatr Surg, 22, pp.750~753 (1987)
- White J, "Prenatal sonographic detection of intra-abdominal extralobar pulmonary sequestration: report of three cases and literature review", Prenat Diagn, 12, pp.653~658 (1994)
- Robert S, "Bilateral intralobar pulmonary sequestration in a newborn, case report and review of the literature on bilateral pulmonary sequestrations", J Pediatr Surg, 42, pp.19~23 (2007)
- Chung SK, "Bilateral pulmonary sequestrations -A case report-", Korean J Thorac Cardiovasc Surg, 25, pp.1070~1075 (1992)
- Kim KH, "Surgical treatment of bilateral pulmonary sequestration", Korean J Thorac Cardiovasc Surg, 28, pp.747~753 (1995)
- Park JE, "Case report:A case of bilateral intrapulmonary sequestration", Pediatr Allergy Respir Dis, 7, pp.305~310 (1997)
- Suat G, "Pulmonary sequestration: A single-institutional series composed of 27 cases", J Thorac Cardiovasc Surg, 133, pp.955~959 (2007)
- Yukio S, "A rare case of extralobar sequestration with hemoptysis", J Thorac Cardiovasc Surg, 128, pp.778~779 (2004)
- Savic B, "Lung sequestration: report of seven cases and review of 540 published cases", Thorax, 34, pp.96~101 (1979)
- Frase R, "Pulmonary abnormalities of developmental origin. Synopsis of diseases of the chest", pp.258~ (1994), Philadelphia, WB Saunders co
- Ferris EJ, "Intralobar pulmonary sequestration: Value of aortography and pulmonary arteriography", Cardiovasc Intervent Radiol, 4, pp.17~23 (1981)
- Aqarwal PP, "Computed tomography demonstration of systemic arterial supply to lung without sequestration", Acta Radiolo, 46, pp.476~479 (2005)
- Lee EY, "3D multidetector CT angiographic evaluation of extralobar pulmonary sequestration with anomalous venous drainage into the left internal mammary vein in a pediatric patient", Br J Radiol, 79, pp.99~102 (2006)
- Lee EY, "Evaluation of angioarchitecture of pulmonary sequestration in pediatric patients using 3D MDCT angiography", AJR Am J Roentqunol, 183, pp.183~188 (2004)
- Flye MW, "Spectrum of pulmonary sequestration", Ann Thrac Surg, 22, pp.478~482 (1976)
- Saida T, "Systemic arterial supply to the normal basal segments of the left lower lobe treated by coil embolization, with long-term follow-up", Radiat Med, 24, pp.365~368 (2006)
- 이건화, 나현식, 배준용, 최준호, 어수택, 김동훈, 황정화, 구동억, 김기업, 김동균, 김양기, "동맥색전술로 시술한 폐격리증 1예", 결핵 및 호흡기질환, 58(1), pp.68~72 (2005), 대한결핵및호흡기학회
- Weber A, "Thracoscopic lobectomy for benign disease-a single centre study on 64 cases", Eur J Cardioghorac Surg, 20, pp.443~448 (2001)
- Watanabe A, "Complications of major lung resections by video-assisted thoracoscopic surgery", Kyobu Geka, 56, pp.943~948 (2003)
- Peter K, "Thoracoscopic treatment of pulmonary sequestration", Eur J Cardiothorac Surg, 29, pp.815~818 (2006)
- de laqausie P, "Video-assisted thoracoscopic surgery for pulmonary sequestration in children", Ann Thorac Surg, 80, pp.1266~1269 (2005)