Hybrid surgery in treatment of pulmonary sequestration with abdominal aorta feeding vessel: a case report

Haining Zhou,Shoujun Tang,Li Yu,Quanshui Fu,Lunxu Liu

doi:10.1186/s13019-018-0733-6

Abstract

BackgroundPulmonary sequestration is a rare congenital pulmonary dysplasia, which requires surgical resection (either via open thoracotomy or video-assisted thoracoscopic surgery [VATS] or via endoluminal occlusion of the abnormal feeding vessel).Case presentationWe described a 51-year-old female patient with a history of recurrent cough and repeated pneumonia. She was referred to our hospital for further work-up of pulmonary sequestration. We performed a hybrid surgery (i.e., embolization of the aberrant feeding vessel of the sequestration combined with wedge resection of the left lower lobe lesion through VATS). The patient was discharged on the sixth postoperative day in good condition and without complications.ConclusionsWe believe that a hybrid operation is safer, more feasible, and more comprehensive than other treatments.

Highlights

Pulmonary sequestration is a rare congenital pulmonary dysplasia, which requires surgical resection
We present a patient with Pulmonary sequestration (PS) successfully treated through a hybrid operation
The contrast catheter was selectively inserted into the feeding artery of the left lower lobe PS to perform digital subtraction angiography (DSA)

Summary

Background

Pulmonary sequestration (PS) can cause recurrent infection and haemoptysis and contrast enhanced computer tomography (CT) is frequently used for the imaging diagnosis of PS so far. Embolism, ligation of the abnormal feeding artery and resection of the diseased lung tissue are performed to treat PS [1]. In this case report, we present a patient with PS successfully treated through a hybrid operation. Case presentation A 51-year-old female patient was admitted to our hospital because of recurrent cough and expectoration for 2 years. Her condition recurred several times intermittently and was exacerbated 7 days before her hospitalization. The contrast catheter was selectively inserted into the feeding artery of the left lower lobe PS to perform DSA.

Discussion

Conclusions