[Incidentally Found Intralobar Pulmonary Sequestration Undergoing Video-assisted Thoracoscopic Right Basal...

Area of Science:

• Cardiothoracic Surgery
• Diagnostic Imaging
• Pulmonary Medicine

Background:

• Intralobar pulmonary sequestration (IPS) is a congenital lung malformation.
• It can present asymptomatically or with varied symptoms, including hemoptysis.
• Cardiovascular magnetic resonance imaging and contrast-enhanced chest computed tomography (CT) are crucial for diagnosis.

Purpose of the Study:

• To report a case of asymptomatic intralobar pulmonary sequestration.
• To emphasize the diagnostic role of advanced imaging techniques.
• To advocate for early surgical intervention in IPS cases.

Main Methods:

• A 53-year-old asymptomatic woman underwent evaluation for an abnormal finding on cardiovascular magnetic resonance imaging.
• Contrast-enhanced chest CT identified consolidations, cysts, and an anomalous artery supplying the right lower lobe.
• Video-assisted thoracoscopic right basal segmentectomy was performed for treatment.

Main Results:

• The patient was diagnosed with intralobar pulmonary sequestration based on CT findings.
• Surgical resection of the affected segment and ligation of the anomalous artery were successful.
• Postoperative follow-up showed an uneventful recovery with no complications.

Conclusions:

• Early surgical resection is recommended for intralobar pulmonary sequestration, regardless of symptom presentation.
• Prompt diagnosis and intervention can lead to favorable patient outcomes.
• This case underscores the importance of timely surgical management for congenital lung abnormalities.