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(Chest. 1970;57:454-459.)
© 1970 American College of Chest Physicians

Bronchopulmonary Sequestration

Robert E. Durnin M.D.1; Zuhdi Lababidi M.D.1; Cooley Butler M.D.1; Albert Selke M.D.1; and John B. Flege M.D., F.C.C.P.1

1 departments of Pediatrics, Radiology, Surgery and Pathology, University of Iowa, School of Medicine. Iowa City

Intralobar pulmonary sequestration is a cystic intrapulmonary mass supplied by an aberrant systemic artery with venous drainage usually to the pulmonary veins. Most cases reported have been in adults. This report presents the findings in 11 patients, nine of whom are less than 11 years of age. Radiographic evidence of an inflammatory process or mass in the basilar segments of the lower lobes, presence of a continuous murmur over the thorax and history of repeated pneumonia or lower respiratory tract infections should alert the pediatrician to suspect this diagnosis. Definite diagnosis can be established by aortic angiocardiography. Surgery is indicated because the sequestered lobe is a site for repeated infections.




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