Abstract
A 42-year-old man with an intractable cough was referred to our hospital with a diagnosis of pulmonary sequestration. Enhanced chest CT revealed a cystic mass lesion in the left lower lung field (S10) which was supplied by an aberrant artery originating from the thoracic descending aorta. The patient was diagnosed with intralobar pulmonary sequestration. Thoracoscopic resection was performed, using one access window and two ports. Hyperlobulation between the normal lower lobe and the sequestration, which shared the visceral pleura of a normal pulmonary lobe, was noted during surgery. Firstly, the aberrant artery was proximally ligated with a silk suture and cut with a stapling device. Thereafter, the hyperlobulated area between the normal lower lobe and sequestration was cut with a stapling device, and only the sequestration was removed. Thoracoscopic sequestrectomy is feasible for hyperlobulated intralobar pulmonary sequestration.
