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June 1959

Intralobar Bronchopulmonary Sequestration in Children: Diagnosis by Intrathoracic Aortography

Author Affiliations

From the Departments of Pediatrics and Radiology, State University of New York, Downstate Medical Center and Kings County Hospital.

AMA Am J Dis Child. 1959;97(6):796-804. doi:10.1001/archpedi.1959.02070010798006

Intralobar bronchopulmonary sequestration is a congenital pulmonary disease in which a portion of an otherwise normal lobe has no connection with the bronchial tree or pulmonary arterial circulation, and receives its arterial supply from anomalous branches of the aorta. This condition is relatively well known to radiologists and surgeons as a cause of lung cysts and recurrent infection requiring resection; but in spite of its congenital nature and the early appearance of symptoms in some patients, we have not found it reported in pediatric journals, although many cases have been described in children. Extralobar sequestration, in which the same pathological features occur in an accessory lobe, has been reported twice in newborn infants by pediatricians in surgical journals.1,2 The purpose of this paper is to call the attention of pediatricians to intralobar sequestration and to report an effective method of proving the diagnosis by visualizing the anomalous arteries.