Thoracoscopic Lung Resection for Pulmonary Intralobar Sequestration Associated with Scimitar Syndrome: A Case Report

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The patient described here was a 19-year-old man with no relevant medical history. The patient was treated with antimicrobial agents for pneumonia, and his symptoms improved; however, a shadow persisted in radiographs of the right lower lung field. The patient was referred to our hospital for further examination and treatment. Enhanced computed tomography showed multiple cystic changes with well defined borders in the basement segment of the right lung. An abnormal artery was observed to originate from the celiac artery and returned to the inferior vena cava. We interpreted the symptoms of pulmonary sequestration with abnormal partial pulmonary venous return to be Scimitar syndrome. A surgical intervention was performed thoracoscopically. Scimitar syndrome is a very rare disease. It is important to pay attention to the preoperative cardiac functional assessment and intraoperative vascular treatment for associated pulmonary sequestration.