Pulmonary sequestration in adults: a retrospective review of resected and unresected cases
Autor: | Jay H. Ryu, Mohammad Alsumrain |
---|---|
Rok vydání: | 2018 |
Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Pulmonary sequestration Radiography Clinical Decision-Making Aorta Thoracic 030204 cardiovascular system & hematology Asymptomatic 03 medical and health sciences Postoperative Complications 0302 clinical medicine Unresected medicine.artery Medical Records Problem-Oriented medicine Humans Thoracic aorta Bronchopulmonary Sequestration Lung lcsh:RC705-779 business.industry Dissection Patient Selection Medical record Postoperative complication lcsh:Diseases of the respiratory system Middle Aged medicine.disease United States Surgery 030228 respiratory system Radiological weapon Asymptomatic Diseases Female Radiography Thoracic medicine.symptom business |
Zdroj: | BMC Pulmonary Medicine, Vol 18, Iss 1, Pp 1-5 (2018) |
ISSN: | 1471-2466 |
Popis: | Background Pulmonary sequestration (PS) is a form of congenital pulmonary malformation that is generally diagnosed in childhood or adolescence and usually resected when diagnosed. We aim to identify the clinical presentation and course of patients diagnosed to have PS during adulthood. Methods Using a computer-assisted search of Mayo clinic medical records, we identified adult patients with PS diagnosed between 1997 and 2016. Clinical and radiological data were collected including postoperative course for those who underwent surgical resection. Results We identified 32 adult patients with PS; median age at diagnosis was 42 years (IQR 28–53); 17 patients (53%) were men. The median sequestration size was 6.6 cm (IQR 4.4–9.3). The type of sequestration was intralobar in 81% and extralobar in 19%. The most common location was left lower lobe posteromedially (56%). Forty-seven percent of the patients presented with no relevant symptoms. The most common radiographic finding was mass/consolidation in 61% and the most common feeding artery origin was the thoracic aorta (54%). Surgical resection was performed in 18 patients (56%) and postoperative complication was reported in 5 patients (28%). There was no surgical mortality. Median duration of follow-up after diagnosis for unresected cases, most of whom were asymptomatic, was 19 months (IQR 4–26) with no complications related to the PS reported. Conclusions Nearly one-half of adult patients with PS present with no relevant symptoms. The decision regarding surgical resection needs to weigh various factors including clinical manifestations related to PS, risk of surgical complications, comorbidities, and individual patient preferences. |
Databáze: | OpenAIRE |
Externí odkaz: |