Real-Time Ultrasound and Color-Doppler Imaging in Pulmonary Sequestration

Pulmonary sequestrations are congenital masses of aberrant, nonfunctioning pulmonary tissue that usually do not connect with the bronchial tree and derive their arterial blood supply from systemic vessels, most often the distal thoracic or upper abdominal aorta. The majority of sequestrations are intralobar and contained within the visceral pleura of the normal lung; these usually have their venous drainage to the pulmonary venous system. Extralobar sequestrations have a separate pleural covering and usually drain to systemic veins or the portal venous system.1-3 Patients most often come to clinical attention with repeated respiratory infections.2 The sequestered segment is usually visualized radiographically as a nonaerated opacity at the medial lung base, more often left-sided.