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Pulmonary sequestration associated with asymptomatic aspergillosis
Hiroki Sato1, Atsushi Watanabe, Tamotsu Yamaguchi
1Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
Summary
A rare case of intralobar pulmonary sequestration with asymptomatic aspergillosis was treated. Video-Assisted Thoracoscopic surgery (VATS) lobectomy proved a safe and effective procedure for this condition.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Infectious Diseases
Background:
- Intralobar pulmonary sequestration is a congenital lung malformation.
- Aspergillosis is a fungal infection that can affect the lungs.
- Co-occurrence of these conditions is exceptionally rare.
Observation:
- A 65-year-old woman presented with intrapulmonary sequestration and anomalous systemic arterial supply to the left lower lobe.
- The patient also had asymptomatic aspergillosis.
- The condition was treated with left lower lobectomy and anomalous artery ligation via VATS.
Findings:
- Pathological examination revealed parenchymal distortion and chronic inflammation.
- Aspergillus species were identified within a cyst.
- The surgical procedure was successful.
Implications:
- Video-Assisted Thoracoscopic surgery (VATS) lobectomy is a safe and valid approach for intralobar pulmonary sequestration.
- This case highlights the importance of considering co-existing infections in rare pulmonary conditions.
- Further research may explore optimal management strategies for combined pulmonary sequestration and fungal infections.