Current Thoracic Surgery
2017 , Vol 2 , Issue 3
Intralobar sequestration: left lower lobectomy by video-assisted thoracoscopic surgery
1Department of Thoracic Surgery, University of Health Sciences, İzmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Health Application and Research Center, İzmir, Turkey
DOI :
10.26663/cts.2017.0024
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Pulmonary sequestration is a congenital anomaly which receives its blood supply from systemic
circulation It has no connection with normal tracheobronchial system, and located in a pulmonary lobe.
These lesions should be treated promptly by surgery. Minimally invasive techniques may be preferred
for resection. In the 32-year-old female patient, a lobulated, well-circumscribed mass lesion with a
diameter of approximately 4 cm was detected on the posterior basilar segment of the left lower lobe.
Besides, an aberrant artery which originated from the thoracic aorta and feeding the lesion was found. It
was preoperatively observed that the arterial supply of the lesion was approximately 2 cm in diameter,
originating from thoracic descending aorta. Venous drainage was through the pulmonary vein. Since
intraoperative findings proved intrapulmonary sequestration to be necessary, left lower lobectomy was
performed by VATS. The final pathology result was also reported as intralobar sequestration. This case
is presented due to its rare occurrence and the use of minimally invasive techniques.
Keywords :
intralobar sequestration, VATS, minimally invasive surgery