Document Detail


Prenatal interventional and postnatal surgical therapy of extralobar pulmonary sequestration.
MedLine Citation:
PMID:  20093266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Extralobar sequestration, a discrete developmental mass of pulmonary parenchyma which is enclosed within a separate pleural envelope and has its own vascular supply, is recently diagnosed prenatally by ultrasonography. We report two male newborn babies, 10 days old, who prenatally underwent amnioperitoneal shunt, pleural drainage and laser ablation of the feeding artery. Both babies underwent thoracotomy on their 10th day of life, removal of the sequestration, ligation of the feeding vessel which remained patent despite laser treatment in the first case and drainage of a large pleural effusion in the second case. Both babies had an uncomplicated course and are well 80 and 48 months after surgery, respectively. Extralobar sequestration should undergo operation as early as possible after birth, even after prenatal laser ablation of the feeding artery, since mortality and morbidity of surgery are extremely low, while newborns are protected from future infections.
Authors:
Kyriakos S Rammos; Christophoros N Foroulis; Charalambos K Rammos; Alexandros Andreou
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-21
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-25     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  634-5     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Aristotle University Medical School, AHEPA University Hospital, 1 Stilponos Kyriakidi Street, 54636 Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Bronchopulmonary Sequestration / complications,  surgery*,  ultrasonography
Drainage*
Female
Gestational Age
Humans
Infant, Newborn
Laser Therapy*
Ligation
Male
Pleural Effusion / etiology,  surgery
Pregnancy
Pulmonary Artery / surgery*,  ultrasonography
Thoracotomy*
Treatment Outcome
Ultrasonography, Prenatal
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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