Pediatric Pulmonary Sequestration Treatment & Management

Updated: Oct 27, 2021
  • Author: Bruce M Schnapf, DO; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Treatment

Approach Considerations

Medical care

No specific medications are useful in pulmonary sequestration. No medical therapy is indicated in the management of pulmonary sequestration, unless an infection requires the use of antibiotics.

Surgical care

Management of an asymptomatic pulmonary sequestration with no connection to the surrounding lung is controversial; however, most references advocate resection of these lesions because of the likelihood of recurrent lung infection, the need for larger resection if the sequestration becomes chronically infected, and the possibility of hemorrhage from arteriovenous anastomoses. [24]

Surgical resection is the treatment of choice for patients who present with infection or symptoms resulting from compression of normal lung tissue.

Extrapulmonary lesions can usually be excised without loss of normal lung tissue.

Intrapulmonary lesions often require lobectomy because the margins of the sequestration may not be clearly defined. Complete thoracoscopic resection of pulmonary lobes in infants and children has been described with low mortality and morbidity. [25]

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Diet and Activity

No special dietary requirements are necessary.

Activity restriction is not necessary.

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