Uniportal video-assisted thoracic surgery for right intralobar pulmonary sequestration

Purpose: A pulmonary sequestration is an embryonic mass of lung tissue that has no identifiable bronchial communication. It is characterized by nonfunctional pulmonary parenchyma separated from the normal tracheobronchial tree and abnormal blood supply from the systemic circulation. Methods: We report a 61-year-old male with progressive chest distress and pain, recurrent pneumonia, was diagnosed pulmonary sequestration. The clinical features, treatment, pathological findings, and prognosis following were reviewed. Results: Contrast-enhanced computed tomography (CT) of the thorax revealed a mass in the right lower lobe indicating an aberrant blood vessel. A high resolution CT scan with three-dimensional reconstructions showed a 7 mm feeding artery arising from the right side of the descending thoracic aorta, running up on paraspinal tissue into the posterior basal segment of the right lower lobe, and continuing via right lower venous drainage to the left atrium. The patient received uniportal video-assisted thoracic surgery (VATS) for pulmonary sequestration. Conclusions: Uniportal VATS lobectomy as an alternative approach to appropriately treat patients for pulmonary sequestration.