Sequestro pulmonar e tratamento endovascular: um relato de caso
Pulmonary sequestration and endovascular treatment: a case report
Sergio Quilici Belczak; Ingredy Tavares da Silva; Jéssica Cunha Bernardes; Felipe Basso de Macedo; Laís Leite Lucato; Bruna Rodrigues; Bruna Stecca Zeque
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Abstract
Abstract: Pulmonary sequestration is a congenital anomaly defined as a nonfunctioning mass of lung parenchyma. Presence of an independent pleural envelope classifies it as intralobar, accounting for approximately 75% of the cases, while absence classifies cases as extralobar, accounting for the remaining 25%. Diagnosis is made through radiography and confirmed by computed tomography, magnetic resonance, or angiography. The traditional treatment is open surgical repair, but endovascular techniques have been used, with good results. We report the case of a 29-year-old-woman presenting with recurrent pneumonia for 5 years. A CT scan of the chest revealed poor vascular formation in the lower region of the right lung. The pulmonary sequestration was treated by embolization of the anomalous branch.
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References
Westphal FL, Lima LC, Lima JC No, Cardoso MS, Silva MS, Westphal DC. Tumor carcinoide e sequestro pulmonar. J Bras Pneumol. 2012;38(1):133-7. http://dx.doi.org/10.1590/S1806-37132012000100018. PMid:22407050.
Oliveira IM, Opaleye DT, Santiago JF Jr, et al. Sequestro pulmonar extralobar: análise anatomopatológica de dois casos em natimortos e revisão da literatura. J Bras Patol Med Lab. 2008;44(3):199-203. http://dx.doi.org/10.1590/S1676-24442008000300007.
Fiorotto WB, Zacarias L, Santos MR, Oliveira FB, Dib JE Fo, Ramos GC. Paciente com sequestro pulmonar intralobar: uma rara anomalia congênita. Rev Bras Cardiol Invasiva. 2012;20(1):99-102.
Kanaan D, Motta CA, Coutinho AC Jr. Tratamento endovascular de hemoptise relacionada à sequestro pulmonar. São Paulo: SOBRICE; 2015 [citado 2016 jan 26]. http://www.sobrice.org.br/publicacoes/casos-clinicos/tratamento-endovascular-de-hemoptise-relacionada-a-sequestro-pulmonar
Andrade LF, Haussmann MF, Coelho NM, et al. Sequestro pulmonar: revisão de literatura. Braz J Surg Clinical Res. 2013;4(4):46-9.
Pêgo-Fernandes PM, Freire CH, Jatene FB, Beyruti R, Suso FV, Oliveira SA. Sequestro pulmonar: uma série de nove casos operados. J Pneumol. 2002;28(4):175-9. http://dx.doi.org/10.1590/S0102-35862002000400001.
Grossi S, Benigno B, Carvalho MV, Marchi E. Sequestro pulmonar congênito: raro e letal. Perspectivas Médicas. 2008;19(2):39-44.
Pinto DR Fo, Avino AJ, Brandão SL. Sequestro extralobar com hemotórax secundário a infarto pulmonar. J Bras Pneumol. 2009;35(1):99-102. http://dx.doi.org/10.1590/S1806-37132009000100015. PMid:19219338.