Successful Concomitant Thoracic Endovascular Aortic Repair and Lobectomy for Pulmonary Sequestration

A 60-year-old man with no history of recurrent pneumonia was diagnosed by screening enhanced computed tomography of the chest with pulmonary sequestration in the right lower lobe with 2 aberrant systemic arteries, 1 of which was markedly aneurysmal and thrombosed immediately after its bifurcation from the descending aorta. During hybrid operation consisting of thoracic endovascular stent graft implantation and right lower lobectomy, the aberrant arteries were ligated by an endoscopic stapler. The patient had no postoperative complications and was discharged on postoperative day 6. Follow-up chest computed tomography 31 months after the operation revealed significant shrinkage of the arterial stump.