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J Thorac Cardiovasc Surg 2006;131:917-918
© 2006 The American Association for Thoracic Surgery

Brief Communication

Video-assisted resection of bilateral intralobar pulmonary sequestrations

Christopher R. Morse, MD a , Michael B. Ishitani, MD b , Stephen D. Cassivi, MD, MSc a , *

a Division of General Thoracic Surgery, Mayo Clinic College of Medicine, Rochester, Minn.
b Division of Pediatric Surgery, Mayo Clinic College of Medicine, Rochester, Minn.

Received for publication November 18, 2005; revisions received December 7, 2005; accepted for publication December 9, 2005.

* Address for reprints: Stephen D. Cassivi, MD, MSc, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905. (Email: cassivi.stephen@mayo.edu).

The first 20% of the full text of this article appears below.

Bronchopulmonary sequestrations (BPSs) are characterized by anomalous vascular and tracheobronchial connections and account for a small proportion of pulmonary malformations. Bilateral BPSs are extremely rare, and the traditional surgical approach has been sequential resections with staged thoracotomies. We report a single-stage, sequential, video-assisted thoracoscopic surgery (VATS) approach to bilateral intralobar pulmonary sequestrations (ILSs).

Clinical Summary

An otherwise healthy 7-year-old girl was referred with low-grade fevers, productive cough, and a right lower lobe infiltrate on standard chest radiographs. She was given 2 courses of antibiotics, with only partial resolution of her right lung infiltrate. Subsequent high-resolution computed tomographic imaging demonstrated bilateral lower lobe BPS (Figure 1, A). Arterial supply to both sides was from the abdominal aorta (Figure 1, B).


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[Abstract] [Full Text] [PDF]


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