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Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant
Journal article   Open access   Peer reviewed

Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant

Dilan Prasad, Christopher Pennell, Lindsay Grier Arthur and Rajeev Prasad
European journal of pediatric surgery reports, v 9(1), pp e1-e4
Jan 2021
PMID: 33532170
url
https://doi.org/10.1055/s-0040-1721043View
Published, Version of Record (VoR) Open

Abstract

Case Report
Abstract The most common congenital lung malformations are congenital pulmonary airway malformations and pulmonary sequestrations. Many surgeons advocate resection to prevent complications of infection, malignancy, and pneumothorax. The standard of care is lobectomy, but segmentectomy and embolization alone have been reported. These methods avoid the complications of lobectomy but are not widely practiced due to concerns about incomplete resection or involution of the lesion. We present a novel approach to the treatment of a pulmonary sequestration in a 7-month-old male using preoperative embolization followed by a sublobar pulmonary resection. The embolization clearly demarcated the affected lung intraoperatively, thereby facilitating complete removal of the lesion with a segmental lung resection rather than complete lobectomy.

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Web of Science research areas
Surgery
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