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J Thorac Cardiovasc Surg 2006;132:707-708
© 2006 The American Association for Thoracic Surgery

Brief Communication

Video-assisted thoracoscopic surgery for extralobar pulmonary sequestration

Takashi Suda, MD*, Sachiko Hasegawa, MD, Koji Negi, MD, Yoshinobu Hattori, MD

Division of General Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

Received for publication January 18, 2006; accepted for publication February 13, 2006.

* Address for reprints: Takashi Suda, MD, Division of Thoracic Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukake Toyoake, Aichi, Japan 470-1192 (Email: suda@fujita-hu.ac.jp).

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

Pulmonary sequestration can present various clinical manifestations, and some patients even lack aberrant arteries. Video-assisted thoracoscopic surgery (VATS) is a useful surgical technique for treating pulmonary sequestration if the vascular supply of the lesion can be accurately characterized. We report here a rare case of extralobar pulmonary sequestration without aberrant arteries, which was treated by VATS.

Clinical Summary

The patient was an 11-year-old boy whose chief symptoms were cough, fever, and pain in the left side of the chest when he visited our hospital. A chest x-ray film revealed a left pulmonary cyst and fluid accumulation in the cyst. An elevated inflammatory response was observed, including a leukocyte count of 13,000/µL and C-reactive protein concentration of 0.9 mg/dL. Computed tomographic (CT) scans revealed a sequestered lung segment in the left upper lobe, in which a pulmonary cyst was observed. Fluid accumulation was also observed in the cyst (Figure 1). Administration of an antibacterial agent reduced the fever immediately, and the inflammatory response was normalized. . . . [Full Text of this Article]




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