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KMID : 0364019960290020223
Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 2 p.223 ~ p.226
Congenital Cystic Adenomatoid Malformation Associated with Extralobar Pulmonary Sequestration -1 case report-



Abstract
Pulmonary sequestration and congenital cystic adenomatoid malformation are two infrequent congenital pulmonary diseases and the combination of these two entities is rare. We had experienced a 3 week old male patient with a pulmonary mass, who had
been
sufferring from tachypnea and chest wall retraction after birth. The pulmonary mass was suspected as a congenital cystic adenomatoid malformation by chest CT. And therefore, we performed urgent operation via standard thoracotomy incision. Upon a
thoracotomy, there was an extrapleural mass with anomalous blood supply near the posterior diaphragm and multiple cystic lesions in right lower lobe. The two anomalous arteries arising from the thoracic aorta and one vein draining into the azygos
vein
were ligated, and then the extrapleural mass was removed and a right lower lower lobectomy was performed. Final histologic diagnosis was congenital cystic adenomatoid malformation associated with extralobar pulmonary sequestration. The patient
was
discharged without any problem.
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