3. Conclusions
Extralobar sequestrations are rarely symptomatic in the
neonatal period. CT angiography provides a good imaging modality
for diagnosis as well as helps delineate vascular supply to assist
surgery. We describe the finding of a large sequestration in a 25-
week gestational age newborn, resulting in high output cardiac
failure and renal failure. Resection resulted in immediate clinical
improvement. The need for resection should be individualized to
the nature, size and anticipated clinical course of the lesion.