PT  - JOURNAL ARTICLE
AU  - Artemios Dimitriou
AU  - Yehudit Rozenman
AU  - Issahar Ben Dov
TI  - Pulmonary sequestration in asymptomatic adults; a plea for conservative observation
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P3502
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P3502.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P3502.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - Background:Pulmonary sequestration (PS) is a rare congenital anomaly.Due to recurrent infections, the treatment in children is surgical removal of the sequestrated lung and this recommendation expands to adulthood.Objective:To test if asymptomatic or mildly symptomatic adults with PS could be offered conservative follow up instead of surgery.Methods:We conducted a case series analysis of all patients above 20 yrs old, with sequestration seen in our institute from 2000-2012.Diagnosis, symptoms, patient characteristics, natural course and treatment were reviewed.Results:During a median follow up of 7.8yrs, no major infection occurred and the lesion size remained unchanged in 4/5 patients while mild infection that resolved with oral antibiotics was noted in 1/5.View this table:Diagnosis, Location, origin of Arterial Vessel, and symptomsConclusion:In asymptomatic or mildly symptomatic adult patient with lung sequestration, conservative follow up instead of surgery is a legitimate option.