0
Pulmonary Vascular Disease: Fellow Case Report Slide: Pulmonary Critical Care Disorders: Think Twice |

A Rare Anatomical Variant of Pulmonary Sequestration

Jennifer Fu, DO; Aaron Parrish, MD; Yvonne Carter, MD; Janine Vintch, MD
Author and Funding Information

Harbor UCLA Medical Center, Redondo Beach, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1137A. doi:10.1016/j.chest.2016.08.1247
Text Size: A A A
Published online

Extract

SESSION TITLE: Fellow Case Report Slide: Pulmonary Critical Care Disorders: Think Twice

SESSION TYPE: Affiliate Case Report Slide

PRESENTED ON: Sunday, October 23, 2016 at 10:45 AM - 12:00 PM

INTRODUCTION: Pulmonary sequestrations are a rare congenital anomaly of the lung, rarely diagnosed in adults and rarely found in the right middle lobe (RML).

CASE PRESENTATION: A 68 year old woman with granulomatous lung disease, right middle lobe and right lower lobe bronchiectasis, and prior history of massive hemoptysis treated with bronchial artery embolization presented with multiple episodes of bronchitis and pneumonia before developing recurrent episodes of gross hemoptysis. Bronchoscopy demonstrated recent but no active bleeding which seemed to localize to the RML. There were no malignant cells on bronchial wash. With continued hemoptysis over a month later, a video-assisted thorascopic surgery for a right middle lobe lobectomy was planned. Review of computerized tomography images performed with intravenous contrast suggested a feeding artery originating from the right renal artery, therefore to mitigate intraoperative bleeding, a coil embolization of the feeding artery was performed. Pathology was consistent with intralobar pulmonary sequestration. Intraoperative wound cultures grew Pseudomonas aeruginosa species identical to previous sputum cultures.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543