A rare case of intralobar pulmonary sequestration: combined endovascular and video-assisted thoracoscopic approach.

Pulmonary sequestration is a congenital malformation characterized by cystic, non-functioning embryonic lung tissue supplied by an abnormal systemic artery. It's a rare disease widely variable in clinical presentation and severity, depending mostly on the degree of lung involvement and location in the thoracic cavity. Most patients have recurrent infections and inflammatory conditions in the affected lobe. Surgical resection continues to be the gold standard of therapy and in this context anatomical resection is the procedure of choice and yields excellent long-term results. There are few studies reporting the use of combined endovascular and thoracoscopic approaches for pulmonary sequestration. We describe a case of intralobar pulmonary sequestration located in the lower lobe of the right lung, which was treated with video-assisted thoracoscopic surgery (VATS) after endovascular embolization of systemic artery arising from celiac trunk.

[1]  R. Malthaner,et al.  Transarterial embolization of intralobar pulmonary sequestration in a young adult with hemoptysis. , 2017, Journal of thoracic disease.

[2]  Min P. Kim,et al.  Video-assisted thoracoscopic resection of intralobar pulmonary sequestration in adults , 2016 .

[3]  S. Prabhu,et al.  Congenital bronchopulmonary vascular malformations, “sequestration” and beyond , 2015, Indian Journal of Radiology and Imaging.

[4]  M. Edwards,et al.  Preoperative embolization of aberrant systemic artery in sequestration of lung , 2011, Asian cardiovascular & thoracic annals.

[5]  Fan Li,et al.  Pulmonary sequestration: a retrospective analysis of 2625 cases in China. , 2011, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[6]  C. F. Andrade,et al.  Congenital lung malformations. , 2011, Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia.

[7]  M. Paradela,et al.  Video-assisted thoracoscopic lobectomy in the treatment of intralobar pulmonary sequestration. , 2011, Interactive cardiovascular and thoracic surgery.

[8]  U. Rossi,et al.  Endovascular treatment of pulmonary sequestration in adults using Amplatzer® vascular plugs. , 2011, Interactive cardiovascular and thoracic surgery.

[9]  A. Bhalla,et al.  Endovascular embolization of pulmonary sequestration in an adult. , 2009, Journal of vascular and interventional radiology : JVIR.

[10]  K. Hayakawa,et al.  Massive hemoptysis from a pulmonary sequestration controlled by embolization of aberrant pulmonary arteries: Case report , 1991, CardioVascular and Interventional Radiology.

[11]  D. Lardinois,et al.  Thoracoscopic treatment of pulmonary sequestration. , 2006, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[12]  A. Didier,et al.  Endovascular Treatment of Aberrant Systemic Arterial Supply to Normal Basilar Segments of the Right Lower Lobe: Case Report and Review of the Literature , 2002, Cardiovascular and Interventional Radiology.

[13]  H. Funke,et al.  Lung sequestration: report of seven cases and review of 540 published cases , 1979, Thorax.