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KMID : 0364019970300020226
Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 2 p.226 ~ p.230
Bilateral Intralobar Pulmonary Sequestration with Horseshoe Lung -A new suggestion about the treatment of pulmonary sequestration-
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Abstract
This is a case report of surgical management of a bilateral intralobar pulmonary sequestration with horseshoe lung presenting with frequent URI with productive sputum. Simple chest X-ray showed pneumonic consolidation and infiltration on both
lower
lobes, and infiltration on both lower lobes, and chest CT revealed multiple cystic lesions compatible compatible with pulmonary sequestration. The aortography demonstrated two anomalous systemic arteries arising from the thoracic aorta just above
the
diaphragm to both sequestrums. Left lower lobectomy was performed through the left thoracotomy with ligations and divisions of the systemic feeding arteries to the left and right sequestrum, and division of the isthmic portion of horseshoe lung
without
removal of right sequestrum. The patient was discharged on the postoperative 10th day and followed-up till now without any sequelae and symptoms of residual right sequestration. The recent follow-up chest CT 5 months after the operation re
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