[Massive haemoptysis revealing bilateral sequestration in an adult: 3-year follow-up after embolization and surgery]

Abstract

Pulmonary sequestration is a rare vascular malformation which is most of the time unilateral. We report here the case of a 35-year-old male admitted for severe haemoptysis revealing bilateral pulmonary sequestration: one type 1 of Pryce in the right lower lobe and one type 2 of Pryce in the left lower lobe. Bilateral embolization was performed followed by a segmental resection of the left lower lobe sequestration by thoracotomy. After 3-year follow-up, the patient was asymptomatic and had no recurrence of haemoptysis. Enhanced computed tomography scan showed proximal occlusion of the right lower lobe sequestration systemic artery.

Keywords: Artério-embolisation; Bilateral pulmonary sequestration; Embolization; Haemoptysis; Hémoptysie; Séquestration pulmonaire bilatérale.