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Vol. 26. Issue 1.
Pages 40-43 (January - February 1990)
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Vol. 26. Issue 1.
Pages 40-43 (January - February 1990)
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Secuestro pulmonar bilateral intra y extralobar
Intralobar and extralobar bilateral pulmonary sequestration
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J.L. Bravo Bravo, M. Castanedo Allende, A. Roig Verge
Sección de Cirugía Torácica. Hospital Nuestra Señora de Covadonga. Oviedo
J.L. Dolz Jordi*, M. Rivela Vázquez*, J. Cosío Mir*
* Servicio de Radiología. Hospital Nuestra Señora de Covadonga. Oviedo
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El secuestro pulmonar es una anomalía congénita consistente en una masa de tejido pulmonar displásico cuya vascularización arterial procede del árbol sistémico. El drenaje venoso puede ser igualmente hacia venas sistémicas, como es el caso del secuestro extralobar, o bien hacia las venas pulmonares en el caso del intralobar.

Hacemos referencia al caso clínico de una paciente con cuadros neumónicos de repetición desde su infancia que fue diagnosticada de secuestro pulmonar bilateral. El descubrimiento de secuestros pulmonares dobles o bilaterales es excepcionalmente infrecuente y mucho más, como en el caso que nos ocupa, la aparición de secuestro intralobar en el hemitórax derecho y extralobar en el izquierdo.

Pulmonary sequestration is a congenital malformation consisting of a mass of dysplastic lung tissue with vascularization from systemic vessels. The venous drainage may also be to systemic veins, as in extralobar sequestration, or to pulmonary veins as in intralobar sequestration.

We report a patient with recurrent pneumonia since childhood who was diagnosed of bilateral pulmonary sequestration. The finding of double of bilateral pulmonary sequestration is exceptional. The observation, as in the present patient, of intralobar right and extralobar left sequestrations is even more uncommon.

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Bibliografía
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Copyright © 1990. Sociedad Española de Neumología y Cirugía Torácica
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