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OBJECTIVE: Improvement of diagnosis and treatment of pulmonary sequestration.
METHODS: In our thoracic department from 1998 to 2013 examined and operated 18 patients with pulmonary sequestration, 4 of them performed videothoracoscopic lobectomy.
In diagnostics used radiography, computed tomography, endoscopy, and aortography angiopulmonography.
RESULTS: Clinical examination in 8 patients in the preoperative period allowed suspected lung sequestration, which was confirmed by aortography. 2 patients during aortography due to pulmonary hemorrhage was performed endovascular occlusion of the aberrant artery. It allowed to stop the bleeding and prepare patients for elective surgery. The remaining patients, lung sequestration was detected during surgery, at 3 patients during videothoracoscopic lobectomy. Due to high-resolution optics succeeded in allocating pulmonary ligament identify additional blood vessels extending from the thoracic aorta and going to the lower lobe. The number of aberrant arterial vessels ranged from 1 to 7. Only 1 patient had extrapulmonary sequestration, and the rest was easy intrapulmonary sequestration. In the postoperative period there were no complications
CONCLUSIONS: At suspicion on congenital malformation of lung should be carried out aortography and angiopulmonography. Endovascular occlusion of the aberrant artery allows to stop bleeding and to prepare the patient for elective surgery.