Thoracoscopic Segmentectomy for Pulmonary Sequestration Supplied by Aberrant Celiac Trunk

Pulmonary sequestration is a congenital anomaly: nonfunctioning lung tissues receive systemic arterial supply without bronchial communication. Aberrant arteries mainly arise from the descending thoracic aorta, whereas those originating from the celiac trunk are uncommon. We report the case of a woman with intralobar pulmonary sequestration in the right lower lobe supplied by an artery from the celiac trunk. Preoperative three-dimensional computed tomography (3DCT) delineated the origin, course and potential vessel branches. This information was used to safely perform thoracoscopic basal segmentectomy with peripheral control of the aberrant artery. Preoperative 3DCT facilitated surgical planning, ensured haemostasis and prevent ischemic complications.