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Antes Revista del Instituto Nacional de Enfermedades Respiratorias

 Ver anteriores al 2010

2015, Number 4

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Neumol Cir Torax 2015; 74 (4)

Extralobar pulmonary sequestration asymptomatic and the importance of diagnosis and perinatal treatment: Expectant management is not a therapeutic option

Sancho-Hernández R, Solorio-Rodríguez L, Durán-Colín AA, Iribe-Gaxiola Y, Cuevas-Schacht FJ, López-Corella E

Language: Spanish
References: 27
Page: 262-270
PDF size: 469.81 Kb.


ABSTRACT

Introduction: Prenatal ultrasonography currently represents presentation form of bronchopulmonary malformations. To 90% manifest in neonates with obvious radiological abnormalities and symptomatic progression where surgical resection is clearly indicated. In ‹ 4% causing mass effect with mediastinal shift, hydrops and fetal death and other extreme behave «asymptomatic» with apparent involution and its management has been controversial: early elective resection or radiologic expectant management to document the regression or development complications. It analyzes the literature about the controversy: operate or not to operate. Description of cases: Three fetuses with prenatal diagnosis of intrathoracic solid mass, asymptomatic newborns: one with hydrothorax and other without apparent prenatal involution both with abnormal irrigation compatible with extralobar sequestration, the third with a paracardiac mass where imaging studies did not diagnostic a extralobar sequestration of ectopic location and synchronous with cystic adenomatoid malformation, only transoperative and pathological findings confirmed the diagnosis. Discussion: In asymptomatic patients all bronchopulmonary malformations could be diagnosed and surgically resected for unrecognized their natural history and the low rate of natural regression, radiological proposals are not effective for monitoring.


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