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1.
Medicine (Baltimore) ; 98(31): e16666, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31374041

RESUMO

INTRODUCTION: Pulmonary sequestration (PS) is a rare congenital lung malformation. The classical treatment of the disease has been conventional surgery with resection of abnormal parenchyma. Recently, the endovascular embolization has been proposed for the treatment of this disease. Here we present 2 cases of PS successfully treated with thoracic endograft. PATIENT CONCERNS: Two patients with abnormal consolidation in the left lower lobe were admitted in our hospital. DIAGNOSIS: Chest computed tomography angiography (CTA) showed abnormal consolidation in the left lower lobe, which received systemic blood supply from the descending aorta in both patients. So the diagnosis of PS was confirmed. INTERVENTIONS: Endovascular treatment with thoracic endograft was successfully performed. OUTCOMES: The patients recovered well and were completely free of symptoms. And the CTA follow-up showed the abnormal pulmonary parenchyma shrunk significantly. CONCLUSIONS: Endovascular treatment with thoracic endograft is a promising treatment option for PS.


Assuntos
Sequestro Broncopulmonar/terapia , Embolização Terapêutica/métodos , Adulto , Angiografia , Humanos , Masculino
2.
Semin Pediatr Surg ; 28(4): 150821, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31451177

RESUMO

Diagnosis and management of congenital lung malformations has evolved dramatically over the past several decades. Advancement in imaging technology has enabled earlier, more definitive diagnoses and, consequently, more timely intervention in utero or after birth, when indicated. These advancements have increased overall survival rates to around 95% from historical rates of 60%. However, further refinement of diagnostic technique and standardization of treatment is needed, particularly as the increased sensitivity of diagnostic imaging results in more frequent diagnoses. In this article, we provide an updated review of the diagnostic strategies, management, and prognosis of congenital lung malformations.


Assuntos
Cisto Broncogênico/diagnóstico por imagem , Sequestro Broncopulmonar/diagnóstico por imagem , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico por imagem , Enfisema Pulmonar/diagnóstico por imagem , Cisto Broncogênico/congênito , Cisto Broncogênico/terapia , Sequestro Broncopulmonar/terapia , Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Humanos , Imagem por Ressonância Magnética , Cuidado Pós-Natal , Diagnóstico Pré-Natal , Enfisema Pulmonar/congênito , Enfisema Pulmonar/terapia , Ultrassonografia Pré-Natal
3.
J Med Case Rep ; 12(1): 375, 2018 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-30572944

RESUMO

BACKGROUND: Pulmonary sequestration is a congenital lung disease characterized by nonfunctioning pulmonary tissue that lacks normal communication with the bronchial tree and is supplied by a nonpulmonary systemic artery. Symptomatic bronchopulmonary sequestration is uncommon, seen more frequently in the pediatric population than in adults. It has traditionally been treated with surgical resection; however, a limited but growing number of cases have been treated with angiographic embolization. Given the inherent risks of cardiothoracic surgery, embolization of the anomalous vessel is an enticing alternative treatment. We present a case of a 56-year-old woman with known, symptomatic, intralobar pulmonary sequestration that was successfully treated with coil embolization. CASE PRESENTATION: A 56-year-old Pacific Islander woman with a history of chronic myeloid leukemia was admitted to the hospital with an episode of hemoptysis. Computed tomography of the chest demonstrated left lower lobe intralobar pulmonary sequestration fed by a large tortuous vessel branching off of the descending thoracic aorta. Surgical resection of the sequestration is the current standard treatment strategy of symptomatic intralobar pulmonary sequestration. The cardiothoracic surgeon noted that given the size and location of arterial blood supply, intervention would involve thoracotomy and lobectomy. The interventional radiologist offered embolization of the lesion as an alternative to surgery. Multiple coils, 6-13 mm in size, were used to embolize the sequestration. No considerable flow distal to the coils was noted postembolization. CONCLUSIONS: Intralobar pulmonary sequestration is a rare condition that typically requires surgical management. This case demonstrates the efficacy of coil embolization as an alternative management strategy. To date, limited case reports of adults treated with endovascular embolization exist. Treatment of symptomatic pulmonary sequestration with embolization can be considered as an alternative to surgical resection.


Assuntos
Angiografia , Sequestro Broncopulmonar/fisiopatologia , Sequestro Broncopulmonar/terapia , Embolização Terapêutica , Hemoptise/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Sequestro Broncopulmonar/diagnóstico por imagem , Feminino , Hemoptise/etiologia , Humanos , Pessoa de Meia-Idade , Resultado do Tratamento
4.
Recenti Prog Med ; 109(7): 388-392, 2018.
Artigo em Italiano | MEDLINE | ID: mdl-30087502

RESUMO

The main aim of this critical review on the pulmonary sequestration is to focus the attention of pneumologists, thoracic surgeons and oncologists on some features concerning the heart, vessels, lungs, pleura, diaphragm as well as unusual infections and neoplasms, closely related to such rare disease. The Author emphasizes the importance of these aforementioned peculiarities with reference to the diagnosis timelines as well as to treatment appropriateness. He believes that the new advanced tools to day available makes to achieve this target: it is a must to take in more greater account the rare and insidious pulmonary sequestration at least in the context of post-graduate specialty courses.


Assuntos
Sequestro Broncopulmonar/fisiopatologia , Doenças Cardiovasculares/epidemiologia , Neoplasias/epidemiologia , Sequestro Broncopulmonar/complicações , Sequestro Broncopulmonar/terapia , Doenças Cardiovasculares/etiologia , Humanos , Neoplasias/etiologia
5.
J Cardiothorac Surg ; 13(1): 44, 2018 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-29776376

RESUMO

BACKGROUND: Pulmonary sequestration is a rare congenital pulmonary dysplasia, which requires surgical resection (either via open thoracotomy or video-assisted thoracoscopic surgery [VATS] or via endoluminal occlusion of the abnormal feeding vessel). CASE PRESENTATION: We described a 51-year-old female patient with a history of recurrent cough and repeated pneumonia. She was referred to our hospital for further work-up of pulmonary sequestration. We performed a hybrid surgery (i.e., embolization of the aberrant feeding vessel of the sequestration combined with wedge resection of the left lower lobe lesion through VATS). The patient was discharged on the sixth postoperative day in good condition and without complications. CONCLUSIONS: We believe that a hybrid operation is safer, more feasible, and more comprehensive than other treatments.


Assuntos
Aorta Abdominal/cirurgia , Sequestro Broncopulmonar/terapia , Embolização Terapêutica/métodos , Pulmão/cirurgia , Pneumonectomia/métodos , Cirurgia Torácica Vídeoassistida/métodos , Malformações Vasculares/terapia , Aorta Abdominal/diagnóstico por imagem , Sequestro Broncopulmonar/complicações , Sequestro Broncopulmonar/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Alta do Paciente , Período Pós-Operatório , Toracotomia , Malformações Vasculares/complicações , Malformações Vasculares/diagnóstico por imagem
7.
J Pediatr Surg ; 53(2): 265-269, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29229484

RESUMO

PURPOSE: The prenatal natural history of intralobar and extralobar bronchopulmonary sequestrations (BPSs), including lesion growth patterns and need for prenatal intervention, have not been fully characterized. We review our series of BPSs to determine their natural history and outcomes in the context of the need for prenatal intervention. METHODS: A retrospective review of the pre/postnatal course of 103 fetuses with an intralobar (n=44) or extralobar BPS (n=59) managed at a single institution between 2008 and 2015 was performed. Outcomes included prenatal lesion growth trajectory, presence of hydrops, need for prenatal intervention, survival, and postnatal surgical management. RESULTS: Most extralobar (71%) and intralobar BPSs (94%) decreased in size or became isoechoic from initial to final evaluation. Peak lesion size occurred at 26-28weeks gestation. Eight fetuses developed hydrothorax, four of which (all extralobar BPSs) also developed hydrops. All four hydropic fetuses received maternal betamethasone, and three hydropic fetuses underwent thoracentesis and/or thoracoamniotic shunt placement with subsequent hydrops resolution. All fetuses survived. Forty-one intralobar (93%) and 35 extralobar BPSs (59%) were resected after birth. CONCLUSIONS: BPSs tend to decrease in size after 26-28weeks gestation and rarely require fetal intervention. Lesions resulting in hydrothorax ± hydrops can be effectively managed with maternal steroids and/or drainage of the hydrothorax. LEVEL OF EVIDENCE: IV.


Assuntos
Sequestro Broncopulmonar/embriologia , Sequestro Broncopulmonar/terapia , Terapias Fetais/métodos , Assistência Perinatal/métodos , Sequestro Broncopulmonar/diagnóstico , Sequestro Broncopulmonar/mortalidade , Feminino , Seguimentos , Humanos , Recém-Nascido , Masculino , Gravidez , Diagnóstico Pré-Natal , Estudos Retrospectivos , Resultado do Tratamento
8.
Fetal Diagn Ther ; 44(2): 149-155, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-28898888

RESUMO

OBJECTIVE: To assess the outcome of 12 fetuses with bronchopulmonary sequestration (BPS) and massive pleural effusion after intrafetal vascular laser ablation (VLA). METHODS: All fetuses with BPS and massive pleural effusion that were treated with intrafetal VLA during a 5-year period (2012-2016) were reviewed for safety, intrauterine course, and postnatal outcome. RESULTS: In the study period, 12 fetuses with BPS were treated with VLA. In 7 (58.3%) fetuses, complete cessation of blood flow was achieved after the first VLA, while in 5 (41.7%) fetuses, residual perfusion of the feeding vessel was demonstrated at follow-up. A second intervention was successful in 4 of 5 (80%) fetuses. Overall, in 11 of 12 (91.7%) fetuses, complete coagulation of the feeding vessel could be achieved, followed by a reduction in size or complete resolution of the BPS. All 11 fetuses with successful prenatal intervention were live-born at a median gestational age of 39+1 (range, 37+5-41+2) weeks. Postnatally, 2 (18.2%) of the 11 newborns underwent sequestrectomy, as well as the preterm newborn on which a second fetal intervention was not feasible. CONCLUSION: VLA is an effective and safe treatment of BPS that appears to be of benefit in improving prognosis and decreasing the need for postnatal sequestrectomy.


Assuntos
Sequestro Broncopulmonar/diagnóstico por imagem , Sequestro Broncopulmonar/terapia , Terapia a Laser/métodos , Derrame Pleural/diagnóstico por imagem , Derrame Pleural/terapia , Ultrassonografia Pré-Natal/métodos , Estudos de Coortes , Feminino , Terapias Fetais/métodos , Humanos , Gravidez , Estudos Retrospectivos , Resultado do Tratamento
9.
Bol. pediatr ; 58(246): 245-249, 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-179856

RESUMO

El propósito de este artículo es evaluar las lesiones congénitas pulmonares y de la pared torácica que se pueden detectar desde la etapa fetal hasta alcanzar el desarrollo adulto. Nos hemos centrado en las patologías más prevalentes en ambos campos: malformaciones pulmonares congénitas aéreas (MPCA), secuestro broncopulmonar, enfisema lobar congénito, atresia bronquial y quiste broncogénico, en cuanto a las lesiones de parénquima pulmonar, y pectus excavatum, pectus carinatum, pectus arcuatum y síndrome de poland en el grupo de lesiones de pared torácica. Hemos evitado las descripciones casuísticas y las prolijas explicaciones quirúrgicas para centrarnos en la clínica y en el manejo inicial de estas malformaciones


The aim of this study was to evaluate congenital lung lesions and chest-wall deformities that can be diagnosed from the fetal period until the adulthood. We focused on the most prevalent lesions of each group: Congenital pulmonary airway Malformation (CpaM), Bronchopulmonary Sequestration, Congenital lobar emphysema, Bronchial atresia and Bronchogenic Cyst regarding to parenchymal lesions and pectus excavatum, Carinatum and poland's Syndrome in the group of wall defects. We tried to avoid series description or surgical details in order to highlight clinical issues and management decisions


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Pneumopatias/congênito , Parede Torácica/anormalidades , Pneumopatias/diagnóstico , Pneumopatias/terapia , Síndrome de Poland/diagnóstico , Síndrome de Poland/terapia , Pectus Carinatum/diagnóstico , Pectus Carinatum/terapia , Tórax em Funil/diagnóstico , Tórax em Funil/terapia , Enfisema Pulmonar/congênito , Sequestro Broncopulmonar/dietoterapia , Sequestro Broncopulmonar/terapia
10.
Semin Pediatr Surg ; 26(5): 311-316, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29110827

RESUMO

Congenital lung malformations comprise a group of anatomical abnormalities of the respiratory tree including congenital cystic malformations, bronchopulmonary sequestrations, bronchogenic cyst, bronchial atresia, and congenital lobar emphysema. These anomalies are detected with increasing frequency by pre-natal sonography, but may also present for the first time with symptoms in childhood or later life. When symptomatic, there is little controversy that resection is indicated, which is usually curative. When a lesion is asymptomatic there is greater debate regarding the benefit of resection versus continued observation. This article provides an overview of the spectrum of disorders, the management options available and the long-term outcomes associated with each treatment option.


Assuntos
Sequestro Broncopulmonar , Malformação Adenomatoide Cística Congênita do Pulmão , Enfisema Pulmonar/congênito , Sequestro Broncopulmonar/complicações , Sequestro Broncopulmonar/diagnóstico , Sequestro Broncopulmonar/terapia , Malformação Adenomatoide Cística Congênita do Pulmão/complicações , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico , Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Humanos , Pulmão/anormalidades , Pulmão/embriologia , Pulmão/fisiopatologia , Pneumonectomia , Enfisema Pulmonar/complicações , Enfisema Pulmonar/diagnóstico , Enfisema Pulmonar/terapia , Resultado do Tratamento
11.
Cir Pediatr ; 30(1): 57-63, 2017 Jan 25.
Artigo em Espanhol | MEDLINE | ID: mdl-28585792

RESUMO

INTRODUCTION: Up to date the classical therapeutic approach for intralobar sequestrations (IS) has been surgical excision. However, systemic arteries embolization is presented as an alternative, and even constitutes the first line of treatment in some centers. We summarize our experience in selected cases with the aim of preserving the maximum lung parenchyma. MATERIAL AND METHODS: Retrospective study of IS who underwent endovascular embolization at our institution between 2013 and 2014. RESULTS: Three patients of 12, 14 and 21 months old were treated. Two patients had unilateral IS, one in the left lower lobe (LLL) and the other in the right lower lobe (RLL); the third one had bilateral lesions (a CAM-S complex in the RLL and a IS in the LII). The embolization of the four lesions was performed via right femoral artery. The case with bilateral lesions underwent thoracoscopic lobectomy of the CAM-S 7 months after embolization, finding adherences to the diaphragm. None of the patients had immediate complications and were discharged within 48 hours after embolization. In successive ultrasound and plain radiographs controls, with a follow-up of 6, 18 and 30 months, no complications were found. CONCLUSIONS: Systemic vessels embolization is a treatment option for the treatment of IS that avoids surgery, preserves lung parenchyma and does not preclude surgical resection in case of treatment failure or presence of parenchymal lesions. Longer follow-up is needed to determine long-term effectiveness.


Assuntos
Sequestro Broncopulmonar/terapia , Embolização Terapêutica/métodos , Toracoscopia/métodos , Sequestro Broncopulmonar/fisiopatologia , Diafragma/patologia , Feminino , Seguimentos , Humanos , Lactente , Masculino , Estudos Retrospectivos , Resultado do Tratamento
15.
Eur J Pediatr Surg ; 27(4): 324-329, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27723920

RESUMO

Congenital airway pulmonary malformations are increasingly being diagnosed, but their management continues to remain controversial. Our approach has been to offer surgery to mitigate the risk of infection and possible malignancy. All patients routinely undergo a CT scan of the chest postnatally and once the diagnosis is confirmed, minimal access surgery is offered. Our anesthetists provide single-lung ventilation to enhance the operative view. We conducted a retrospective review over a 10-year period, during which 91 patients were prenatally suspected to have a cystic lung lesion. There were 88 live births of which 29 (33%) cases were initially managed conservatively based on CT findings. Five of these patients, however, became symptomatic needing surgery. A total of 64 (73%) patients underwent surgery with the most common lesions being congenital pulmonary airway malformations (CPAMs) (24), hybrid lesions (19), and pulmonary sequestrations (12). The median age at surgery was 5 months (1 day to 17 months). Using a minimal access approach, 41 (64%) cases were completed with 17 performed open from the onset. Open surgery was indicated in neonates who became symptomatic within the first few weeks of life as well as patients in respiratory distress that would not tolerate either single-lung ventilation or gas insufflation. There were six further conversions to open from minimal access surgery due to poor visualization or technical difficulties. One patient needed a perioperative blood transfusion and one patient had a more prolonged stay due to persistent air leak managed conservatively. Among asymptomatic patients, evidence of microscopic disease was seen, which included infection as well as two cases of tumors, one pleuropulmonary blastoma seen as part of a CPAM, and one rhabdomyomatous dysplasia seen in the CPAM component of a hybrid lesion. In our experience, excising asymptomatic lesions is safe with minimal complications. Single-lung ventilation in combination with thoracoscopy provides excellent vision. There is a risk of infection and a definite, albeit low, risk of malignancy, which may outweigh the benefits of conservative management.


Assuntos
Sequestro Broncopulmonar/terapia , Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Diagnóstico Pré-Natal , Sequestro Broncopulmonar/diagnóstico , Tratamento Conservador , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Pneumonectomia/métodos , Gravidez , Respiração Artificial/métodos , Estudos Retrospectivos , Cirurgia Torácica Vídeoassistida , Tomografia Computadorizada por Raios X , Resultado do Tratamento
16.
Rev. paul. pediatr ; 34(2): 243-246, Apr.-June 2016. graf
Artigo em Inglês | LILACS | ID: lil-784332

RESUMO

Objective: To describe an unusual clinical presentation of intra-abdominal extralobar pulmonary sequestration in a 2-year, 9 month-old patient and assess diagnostic and treatment aspects of this pathology. Case description: An undefined intra-abdominal mass was identified in the right adrenal region in a male fetus. Postnatal evaluation with ultrasound images, computed tomography, magnetic resonance imaging and laboratory testing was insufficient to determine the nature of the lesion. After two years, laparoscopic resection of the mass and histopathological examination of the surgical specimen allowed to establish the diagnosis of intra-abdominal extralobar pulmonary sequestration. Comments: This malformation can be monitored clinically; however, surgical excision is often performed, probably due to the impossibility of attaining diagnosis with non-invasive methods, such as in the present case, in which the lesion appeared in an unusual position for intra-abdominal extralobar pulmonary sequestration. Therefore, the surgical approach seems to be the key to attain the diagnosis and establish the conduct for this type of congenital malformation.


Objetivo: Descrever apresentação clínica incomum de sequestro pulmonar extralobar intra-abdominal em um paciente de dois anos e nove meses e avaliar aspectos diagnósticos e de tratamento dessa patologia. Descrição do caso: Uma massa intra-abdominal indefinida em topografia suprarrenal direita de feto masculino. A avaliação pós-natal com imagens de ultrassom, tomografia computadorizada, ressonância magnética e testes laboratoriais não foi suficiente para determinar a natureza da lesão. Após dois anos, a resseção laparoscópica da massa e o exame histopatológico do espécime cirúrgico permitiram estabelecer o diagnóstico de sequestro pulmonar extralobar intra-abdominal. Comentários: Essa malformação pode ser monitorada clinicamente; entretanto, a excisão cirúrgica frequentemente é feita, provavelmente devido à impossibilidade de diagnóstico com métodos não invasivos, como ocorreu no presente caso, na qual a lesão apresentou-se em posição não habitual para sequestro pulmonar extralobar intra-abdominal. Desse modo, a abordagem cirúrgica parece ser a chave para o diagnóstico e a condução desde tipo de malformação congênita.


Assuntos
Humanos , Masculino , Pré-Escolar , Neoplasias Abdominais , Anormalidades Congênitas , Sequestro Broncopulmonar/cirurgia , Sequestro Broncopulmonar/diagnóstico , Sequestro Broncopulmonar/terapia
18.
Semin Pediatr Surg ; 24(4): 156-9, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26051047

RESUMO

Congenital lung lesions are common sonographic findings in pregnancy, usually detected at the routine 20 weeks scan. The most common is cystic adenomatous malformation of the lung (CCAM). This usually causes few prenatal problems; however, fetal hydrops occurs in about 5%. Prenatal intervention for these is possible in many to allow survival to birth. Bronchoplumonary sequestration (BPS), with an aberrant "feeder" vessel arising from the aorta may co-exist but is detectable as a separate entity by visualization of this vessel. Symptomatic or curative prenatal intervention is again possible in the few severe cases where hydrops or pleural effusions develop. Pleural effusions may be due to a primary leak usually of chylous fluid: prenatal thoracoamniotic shunting may prevent pulmonary hyoplasia or cure the consequent fetal hydrops. More often, however, effusions are a consequence of an underlying abnormality, including many structural or chromosomal abnormalities that may also cause co-existing fetal hydrops. Congenital high airway obstruction (CHAOS) is commonly fatal but cases potentially amenable to prenatal intervention or to immediate perinatal management may be identified using ultrasound or MRI.


Assuntos
Obstrução das Vias Respiratórias/congênito , Obstrução das Vias Respiratórias/diagnóstico por imagem , Sequestro Broncopulmonar/diagnóstico por imagem , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico por imagem , Doenças Fetais/diagnóstico por imagem , Hidropisia Fetal/diagnóstico por imagem , Derrame Pleural/congênito , Derrame Pleural/diagnóstico por imagem , Ultrassonografia Pré-Natal , Obstrução das Vias Respiratórias/diagnóstico , Sequestro Broncopulmonar/terapia , Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Feminino , Doenças Fetais/diagnóstico , Humanos , Hidropisia Fetal/terapia , Derrame Pleural/diagnóstico , Gravidez
19.
Semin Pediatr Surg ; 24(4): 183-6, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26051051

RESUMO

The controversy surrounding the management of congenital lung malformations (CLMs) centre on how best to manage the increasing population of asymptomatic antenatally detected infants. Should elective surgery be offered? Or is a "watch-and-wait" policy safe? This will be addressed in this review by examining the reported complications of surgery, the risk of symptom development if lesions are left in situ and whether this may alter surgical outcomes, and importantly whether there is any long-term risk of malignancy that can be negated by surgical resection in infancy.


Assuntos
Sequestro Broncopulmonar/terapia , Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Doenças Fetais/terapia , Doenças do Recém-Nascido/terapia , Pneumopatias/congênito , Pneumopatias/terapia , Sequestro Broncopulmonar/cirurgia , Malformação Adenomatoide Cística Congênita do Pulmão/cirurgia , Doenças Fetais/cirurgia , Humanos , Recém-Nascido , Doenças do Recém-Nascido/cirurgia , Pneumopatias/cirurgia
20.
Asian Cardiovasc Thorac Ann ; 23(6): 722-5, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25371441

RESUMO

There are few reports regarding endovascular treatment in thoracic surgical patients. Here, we describe the cases of 2 patients who received adjuvant endovascular therapy prior to surgery. One presented with recurrent chest infection. Computed tomography revealed systemic blood supply to an intralobar sequestration. The other presented with an avulsion injury to the internal mammary vein. Coil embolization was employed in both patients with subsequent uncomplicated surgery. Endovascular intervention may stop active bleeding in the chest and reduce the risk of operative hemorrhage in selected thoracic surgical patients.


Assuntos
Sequestro Broncopulmonar/cirurgia , Sequestro Broncopulmonar/terapia , Embolização Terapêutica/métodos , Procedimentos Cirúrgicos Torácicos , Ferimentos não Penetrantes/cirurgia , Ferimentos não Penetrantes/terapia , Adulto , Sequestro Broncopulmonar/diagnóstico por imagem , Feminino , Hemorragia/complicações , Hemorragia/diagnóstico por imagem , Hemorragia/terapia , Humanos , Masculino , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ferimentos não Penetrantes/diagnóstico por imagem
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