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Bronkopulmoner 'Psdo' Sekestrasyon [Respir Case Rep]
Respir Case Rep. 2019; 8(3): 119-122 | DOI: 10.5505/respircase.2019.33603

Bronkopulmoner 'Psdo' Sekestrasyon

Nur Erik1, eyma Ballar1, Sedef Kaya1, Beng aylan2
1Salk Bilimleri niversitesi, stanbul mraniye Eitim Ve Aratrma Hastanesi, Gs Hastalklar Klinii
2Salk Bilimleri niversitesi, stanbul Sultan Abdlhamid Han Eitim Ve Aratrma Hastanesi, Gs Hastalklar Klinii

Bronkopulmoner sekestrasyon terimi geni bir bronkopulmoner vaskler malformasyon spektrumunu ierir. lyak arterin dalndan kanlanan, normal sa akcier alt lobu olan asemptomatik bir olguyu sunuyoruz. Yirmi yanda asemptomatik, sigara imeyen, erkek askeri personel rutin salk kontrol iin bavurdu. Kontrastl toraks bilgisayarl tomografisinde (BT) sa akcier alt lobun kanlanmasn lyak arterden ald tespit edildi. Konjenital bronkopulmoner psdosekestrasyon olarak deerlendirildi ve solunum semptomu olursa bavurmas nerildi. Bronkopulmoner sekestrasyon tanm Pryce tarafndan yaplm ve grupta toplanmtr. Tip I: Normal bir akcier lob/segmentinin anormal sistemik kanlanmasnn olmas, Tip II: Akcierden bamsz olan akcier dokusu ve komu normal akcierin anormal sistemik kanlanmasnn olmas, Tip III: Normal trakeobroniyal sistemden bamsz olan ilevsiz akcier dokusunun anormal sistemik kanlanmasnn olmasdr. Daha sonra Pryce Tip I sekestrasyon 'psdosekestrasyon' olarak adlandrlmtr. Konjenital psdosekestrasyon en sk alt loblarda grlr ve kanlanma desendan torasik aorta, lyak arter veya abdominal aortann bir dalndan kaynaklanr. Tanda BT en iyi yntemdir.

Anahtar Kelimeler: psdosekestrasyon, konjenital, vaskler malformasyon

Bronchopulmonary 'Pseudo' Sequestration

Nur Erik1, eyma Ballar1, Sedef Kaya1, Beng aylan2
1University Of Health Sciences, Istanbul Umraniye Training And Research Hospital, Chest Diseases Department
2University Of Health Sciences, Istanbul Sultan Abdlhamid Han Training And Research Hospital, Chest Diseases Department

The term pulmonary sequestration refers to a wide spectrum of bronchopulmonary vascular malformations. In this case report, we present an asymptomatic case with a normal right lower lobe supplied by a branch of the celiac artery. A 23-year-old male member of the military applied for a periodical physical examination. A thorax computerized tomography (CT) scan revealed a normal right lung volume, although the right lower lobe received its blood supply from the celiac artery. A diagnosis of a congenital pseudosequestration was made, and the patient was advised to seek treatment should pulmonary symptoms develop. Bronchopulmonary sequestration was first described by Pryce, who distinguished between three types of developmental abnormality: Type I: A normal lung with anomalous systemic arterial supply, Type II: An anomalous artery supplying a disconnected lung and an adjacent normal lung, and Type III: A nonfunctional and abnormal lung with systemic arterial blood supply. Later, the Pryce Type I sequestration was renamed pseudosequestration. Congenital pseudosequestration is usually seen the in the lower lobes, and anomalous systemic blood supply arises from the descending thoracic aorta, celiac trunk or abdominal aorta. CT is the best diagnostic method.

Keywords: pseudosequestration, congenital, vascular malformation

Nur Erik, eyma Ballar, Sedef Kaya, Beng aylan. Bronchopulmonary 'Pseudo' Sequestration. Respir Case Rep. 2019; 8(3): 119-122

Sorumlu Yazar: eyma Ballar, Trkiye
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