Video-assisted lobectomy for intralobar pulmonary sequestration

Intralobar pulmonary sequestration is a relatively uncommon disease. We report a case of intralobar pulmonary sequestration treated by video-assisted thoracic lobectomy. The case was a 32-year-old female. She consulted the hospital for a high fever and back pain. She was diagnosed with pulmonary suppuration based on a radiograph and CT, and introduced to us for treatment. Chest radiograph showed an infiltrative shadow with an air-fluid level in the right lower lung field. Chest CT showed inflammation with a cavity in the right S10 and abnormal arterial inflow from the right diaphragm. We suspected pulmonary sequestration. Angiography revealed the right subphrenic artery flowing into the aberrant artery. We diagnosed her with intralobar pulmonary sequestration. No aberrant pulmonary venous return was observed. We performed a video-assisted right lower lobectomy. Along with improvement of the diagnostic technique, the accuracy of the preoperative diagnosis of pulmonary sequestration has been improved. It is possible to perform minimally invasive surgery in selected cases.