Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report

Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report

Case: Pulmonary sequestration is a congenital malformation characterized by nonfunctioning tissue not communicating with the tracheobronchial tree. As the blood pressure in the artery feeding the sequestrated lung tissue is higher than that in the normal pulmonary artery, the risk of massive hemorrh...

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Main Authors: Sakiko Hiraki, Yohei Okada, Yusuke Arai, Wataru Ishii, Ryoji Iiduka
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644017300298
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spelling doaj-e9a8cea40953432d9aff6c49cf0f2b3a2020-11-24T21:20:18ZengElsevierTrauma Case Reports2352-64402017-08-011013Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case reportSakiko Hiraki0Yohei Okada1Yusuke Arai2Wataru Ishii3Ryoji Iiduka4Corresponding author.; Japanese Red Cross Society Kyoto Daini Red Cross Hospital, Department of Emergency and Critical Care Medicine, 355-5 Haruobicho Kamigyoku, Kyoto 602-8026, JapanJapanese Red Cross Society Kyoto Daini Red Cross Hospital, Department of Emergency and Critical Care Medicine, 355-5 Haruobicho Kamigyoku, Kyoto 602-8026, JapanJapanese Red Cross Society Kyoto Daini Red Cross Hospital, Department of Emergency and Critical Care Medicine, 355-5 Haruobicho Kamigyoku, Kyoto 602-8026, JapanJapanese Red Cross Society Kyoto Daini Red Cross Hospital, Department of Emergency and Critical Care Medicine, 355-5 Haruobicho Kamigyoku, Kyoto 602-8026, JapanJapanese Red Cross Society Kyoto Daini Red Cross Hospital, Department of Emergency and Critical Care Medicine, 355-5 Haruobicho Kamigyoku, Kyoto 602-8026, JapanCase: Pulmonary sequestration is a congenital malformation characterized by nonfunctioning tissue not communicating with the tracheobronchial tree. As the blood pressure in the artery feeding the sequestrated lung tissue is higher than that in the normal pulmonary artery, the risk of massive hemorrhage in pulmonary sequestration is high. We herein present the first case of a severe blunt trauma patient with unstable pulmonary sequestration injury. Outcome and conclusion: The mechanism of pulmonary sequestration injury is vastly different than that of injury to normal lung. We suggest that proximal feeding artery embolization should be performed before surgical intervention in patients with massive hemorrhage of pulmonary sequestration due to severe chest trauma. Keywords: Blunt trauma, Coil embolization, Massive hemorrhage, Pulmonary sequestrationhttp://www.sciencedirect.com/science/article/pii/S2352644017300298
collection DOAJ
language English
format Article
sources DOAJ
author Sakiko Hiraki
Yohei Okada
Yusuke Arai
Wataru Ishii
Ryoji Iiduka
spellingShingle Sakiko Hiraki
Yohei Okada
Yusuke Arai
Wataru Ishii
Ryoji Iiduka
Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
Trauma Case Reports
author_facet Sakiko Hiraki
Yohei Okada
Yusuke Arai
Wataru Ishii
Ryoji Iiduka
author_sort Sakiko Hiraki
title Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
title_short Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
title_full Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
title_fullStr Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
title_full_unstemmed Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report
title_sort treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: a case report
publisher Elsevier
series Trauma Case Reports
issn 2352-6440
publishDate 2017-08-01
description Case: Pulmonary sequestration is a congenital malformation characterized by nonfunctioning tissue not communicating with the tracheobronchial tree. As the blood pressure in the artery feeding the sequestrated lung tissue is higher than that in the normal pulmonary artery, the risk of massive hemorrhage in pulmonary sequestration is high. We herein present the first case of a severe blunt trauma patient with unstable pulmonary sequestration injury. Outcome and conclusion: The mechanism of pulmonary sequestration injury is vastly different than that of injury to normal lung. We suggest that proximal feeding artery embolization should be performed before surgical intervention in patients with massive hemorrhage of pulmonary sequestration due to severe chest trauma. Keywords: Blunt trauma, Coil embolization, Massive hemorrhage, Pulmonary sequestration
url http://www.sciencedirect.com/science/article/pii/S2352644017300298
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AT yoheiokada treatmentforunstablepulmonarysequestrationinjuryinpatientwithsevereblunttraumaacasereport
AT yusukearai treatmentforunstablepulmonarysequestrationinjuryinpatientwithsevereblunttraumaacasereport
AT wataruishii treatmentforunstablepulmonarysequestrationinjuryinpatientwithsevereblunttraumaacasereport
AT ryojiiiduka treatmentforunstablepulmonarysequestrationinjuryinpatientwithsevereblunttraumaacasereport
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