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. 1967 Jul;22(4):351–357. doi: 10.1136/thx.22.4.351

Pulmonary sequestration

A report of an unusual case and a review of the literature

Ary Blesovsky 1,1
PMCID: PMC471634  PMID: 6035799

Abstract

A case of extralobar sequestration with findings indicating a pulmonary origin is reported. The literature has been reviewed and evidence presented that intra- and extralobar sequestration are variants of the same abnormality and that the systemic artery is an associated anomaly. From the evidence available at present the pathogenesis of this anomaly is best explained as an abnormality of bronchial and foregut budding resulting from failure of normal embryonic organizer control.

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Selected References

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  1. ABUL-WAFA M. A congenital bronchopulmonary cyst associated with an anomalous artery. Thorax. 1954 Jun;9(2):167–172. doi: 10.1136/thx.9.2.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BAAR H. S., D'ABREU A. L. Duplications of the foregut; superior accessory lung, two cases; epiphrenic oesophageal diverticulum; intrapericardial teratoid tumour; and oesophageal cyst. Br J Surg. 1949 Oct;37(146):220-30, illust. doi: 10.1002/bjs.18003714612. [DOI] [PubMed] [Google Scholar]
  3. BOLCK F. Zur Frage der Entstehung von Nebenlungen. Virchows Arch Pathol Anat Physiol Klin Med. 1950;319(1):20–43. doi: 10.1007/BF02439509. [DOI] [PubMed] [Google Scholar]
  4. BOYDEN E. A., BILL A. H., Jr, CREIGHTON S. A. Presumptive origin of a left lower accessory lung from an esophageal diverticulum. Surgery. 1962 Aug;52:323–329. [PubMed] [Google Scholar]
  5. BOYDEN E. A. Bronchogenic cysts and the theory of intralobar sequestration: new embryologic data. J Thorac Surg. 1958 May;35(5):604–616. [PubMed] [Google Scholar]
  6. BOYD G. Intralobar pulmonary sequestration. Dis Chest. 1953 Aug;24(2):162–172. doi: 10.1378/chest.24.2.162. [DOI] [PubMed] [Google Scholar]
  7. COHN R., HOPEMAN A. Accessory pulmonary artery with intralobar sequestration of the lung. Stanford Med Bull. 1955 Aug;13(3):361–367. [PubMed] [Google Scholar]
  8. COLE F. H., ALLEY F. H., JONES R. S. Aberrant systemic arteries to the lower lung. Surg Gynecol Obstet. 1951 Nov;93(5):589–596. [PubMed] [Google Scholar]
  9. Cockayne E. A., Gladstone R. J. A Case of Accessory Lungs associated with Hernia through a Congenital Defect of the Diaphragm. J Anat. 1917 Oct;52(Pt 1):64–96. [PMC free article] [PubMed] [Google Scholar]
  10. DAS J. B., DODGE O. G., FAWCETT A. W. Intralobar sequestration of lung, associated with foregut diverticulum (oesophagobronchial fistula) and an aberrant artery. Br J Surg. 1959 May;46:582–586. doi: 10.1002/bjs.18004620005. [DOI] [PubMed] [Google Scholar]
  11. DAVIDSON J. S. A case of congenital oesophageal diverticulum lower accessory lobe, and oesophagobronchial fistula. Br J Surg. 1956 Jan;43(180):417–421. doi: 10.1002/bjs.18004318014. [DOI] [PubMed] [Google Scholar]
  12. DUMONT A., DUPREZ A., WITTEK F. Acquired and congenital oesophago-bronchial fistulas. Thorax. 1956 Sep;11(3):249–256. doi: 10.1136/thx.11.3.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. EAKER A. B., HANNON J. L., FRENCH S. W., 3rd Pulmonary sequestration; a review of the english literature with a report of four cases. Am J Surg. 1958 Jan;95(1):31–39. doi: 10.1016/0002-9610(58)90738-4. [DOI] [PubMed] [Google Scholar]
  14. GALLAGHER P. G., LYNCH J. P., CHRISTIAN H. J. Intralobar bronchopulmonary sequestration of the lung; report of two cases and review of the literature. N Engl J Med. 1957 Oct 3;257(14):643–650. doi: 10.1056/NEJM195710032571403. [DOI] [PubMed] [Google Scholar]
  15. GANS S. L., POTTS W. J. Anomalous lobe of lung arising from the esophagus. J Thorac Surg. 1951 Mar;21(3):313–318. [PubMed] [Google Scholar]
  16. GEBAUER P. W., MASON C. B. Intralobar pulmonary sequestration associated with anomalous pulmonary vessels: a nonentity. Dis Chest. 1959 Mar;35(3):282–288. doi: 10.1378/chest.35.3.282. [DOI] [PubMed] [Google Scholar]
  17. HALASZ N. A., HALLORAN K. H., LIEBOW A. A. Bronchial and arterial anomalies with drainage of the right lung into the inferior vena cava. Circulation. 1956 Nov;14(5):826–846. doi: 10.1161/01.cir.14.5.826. [DOI] [PubMed] [Google Scholar]
  18. KAFKA V., BECO V. Simultaneous intra- and extrapulmonary sequestration. Arch Dis Child. 1960 Feb;35:51–56. doi: 10.1136/adc.35.179.51. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. KERGIN F. G. Congenital cystic disease of lung associated with anomalous arteries. J Thorac Surg. 1952 Jan;23(1):55–65. [PubMed] [Google Scholar]
  20. LALLI A., CARLSON R. F., ADAMS W. E. Intralobar pulmonary sequestration; report of three cases, with two additional cases of agenesis of the right upper and middle lobes in combination with anomalous systemic vessels. AMA Arch Surg. 1954 Dec;69(6):797–805. [PubMed] [Google Scholar]
  21. LE ROUX B. T. Intralobar pulmonary sequestration. Thorax. 1962 Mar;17:77–84. doi: 10.1136/thx.17.1.77. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. LOUW J. H., CYWES S. Extralobar pulmonary sequestration communicating with the oesophagus and associated with a strangulated congenital diaphragmatic hernia. Br J Surg. 1962 Jul;50:102–105. doi: 10.1002/bjs.18005021923. [DOI] [PubMed] [Google Scholar]
  23. PARKE W. W. Intralobar sequestration of the lingula pulmonalis. Dis Chest. 1962 Apr;41:378–383. doi: 10.1378/chest.41.4.378. [DOI] [PubMed] [Google Scholar]
  24. ST. RAYMOND A. H., Jr, HARDY J. D., ROBBINS S. G. Lower accessory lung communicating with the esophagus and associated with congenital diaphragmatic hernia. J Thorac Surg. 1956 Mar;31(3):354–358. [PubMed] [Google Scholar]
  25. TALALAK P. Pulmonary sequestration. Arch Dis Child. 1960 Feb;35:57–60. doi: 10.1136/adc.35.179.57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. WARNER C. L., BRITT R. L., RILEY H. D., Jr Bronchopulmonary sequestration in infancy and childhood. J Pediatr. 1958 Nov;53(5):521–528. doi: 10.1016/s0022-3476(58)80142-0. [DOI] [PubMed] [Google Scholar]
  27. WEISEL W., DOCKSEY J. W., GLICKLICH M. Vascular anomalies associated with intrapulmonary bronchial cysts. Am Rev Tuberc. 1955 Apr;71(4):573–583. doi: 10.1164/artpd.1955.71.4.573. [DOI] [PubMed] [Google Scholar]
  28. WITTEN D. M., CLAGETT O. T., WOOLNER L. B. Intralobar bronchopulmonary sequestration involving the upper lobes. J Thorac Cardiovasc Surg. 1962 Apr;43:523–529. [PubMed] [Google Scholar]

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