Treatment of Pulmonary Sequestrations by Means of Endovascular Embolization: Future or Fashion?

Bronchopulmonary sequestration is a rare malformation of the lower respiratory tract. Several methods of treatment have been described since the first publication. We present two cases of female adult patients with bronchopulmonary sequestration. In the first patient an unsuccessful attempt to treat the bronchopulmonary sequestration by means of arterial embolization is described. She was subsequently treated by means of surgical resection, which was the primary treatment for the second patient. Although endovascular techniques are becoming promising, in our opinion surgical resection remains the unique treatment for bronchopulmonary sequestration.

[1]  W. Marsden I and J , 2012 .

[2]  J. Laberge,et al.  Chapter 64 – Congenital Malformations of the Lungs and Airways , 2008 .

[3]  S. Kaya,et al.  Pulmonary sequestration: a single-institutional series composed of 27 cases. , 2007, The Journal of thoracic and cardiovascular surgery.

[4]  J. Remy,et al.  Ectopic origin of bronchial arteries: assessment with multidetector helical CT angiography , 2007, European Radiology.

[5]  N. Khandelwal,et al.  Multidetector CT Angiography in Pulmonary Sequestration , 2006, Journal of computer assisted tomography.

[6]  T. Suda,et al.  Video-assisted thoracoscopic surgery for extralobar pulmonary sequestration. , 2006, The Journal of thoracic and cardiovascular surgery.

[7]  Kevin Barraclough,et al.  I and i , 2001, BMJ : British Medical Journal.

[8]  R. Cerfolio,et al.  Pryce's type I pulmonary intralobar sequestration presenting with massive hemoptysis. , 2001, Annals of diagnostic pathology.

[9]  P. Moerman,et al.  Pulmonary sequestration: a comparison between pediatric and adult patients. , 2001, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[10]  K. Sung,et al.  Pulmonary sequestration in a newborn infant: treatment with arterial embolization. , 1998, Journal of vascular and interventional radiology : JVIR.

[11]  J. Haller,et al.  Surgical management of lung bud anomalies: lobar emphysema, bronchogenic cyst, cystic adenomatoid malformation, and intralobar pulmonary sequestration. , 1979, The Annals of thoracic surgery.