A case of bronchial atresia treated with right S6 segmentectomy using fluorescence navigation with indocyanine green

Bronchial atresia is a congenital obstruction of the segmental or lobar bronchus that often leads to hyperinflation of the affected area. It can cause intractable infections and abnormal nodules in these regions and surgical resection needs to be considered. The precise resection of the abnormal pulmonary segment is crucial for diagnosis and treatment. A 24-year-old male patient was incidentally diagnosed with an abnormal lung shadow, which was confirmed to be bronchial atresia with computerized tomography imaging and bronchofiberscopy. Segmentectomy using fluorescence navigation with indocyanine green dye was performed. The patient had no trouble in his clinical course, indicating that this procedure may be useful in the resection of congenital bronchial atresia regions. Segmentectomy using indocyanine green is an appropriate technique for minimal resection without respiratory impairment and diagnostic therapy of bronchial atresia.