Intralobar pulmonary sequestration originating from the intercostal arteries treated with surgical resection

Abstract

Intralobar pulmonary sequestration originating from the intercostal arteries is rarely reported. Herein, we report an unusual case of a 56‐year‐old male patient with intralobar pulmonary sequestration supplied from the intercostal arteries on the left lower lobe who presented after a month of a repeated cough and massive hemoptysis. Although transcatheter arterial embolization was performed three times, the patient's symptoms were not relieved. A left lower lobectomy was performed with video‐assisted thoracic surgery. At the six‐month follow‐up after surgery, the patient had recovered well without any hemoptysis. Therefore, surgical resection with lobectomy may be a better alternative to transcatheter arterial embolization for the treatment of intralobar pulmonary sequestrations arising from the intercostal arteries. To our knowledge, this is the second reported case of intralobar pulmonary sequestration arising from the intercostal arteries.

Aberrant artery embolization prior to pulmonary sequestration surgery: A case series report

“…Embolization is a minimally invasive procedure, being applied widely in the treatment of PS, especially in children [9] with the complication of hemoptysis [3] , [10] . However, its outcome and effectiveness require more assessment.…”

“…Between January 1st, 2005 and December 31st, 2015, at the National Tuberculosis and Lung Diseases Research Institute in Warsaw, Poland, only 25 cases of PS were diagnosed out of 110.000 hospitalized patients. In general, the incidence of PS is estimated to be 6.4% [1] , [2] , [3] . In Vietnam, studies on PS are still uncommon.…”

Secuestro Pulmonar: Caracterización Y Tratamiento en Pacientes Adultos Y Pediátricos

“…En nuestra serie la cirugía tuvo baja morbilidad y sin mortalidad, concordante con diversas series que muestran mínima morbilidad y buen pronóstico, con escasa presencia de síntomas tras la resolución quirúrgica 23,24,[28][29][30][31][32][33][34][35][36] .…”

Endovascular Embolization of Pulmonary Sequestration Presenting With Hemoptysis: A Promising Alternative to Surgery

“…Pulmonary sequestrations are often asymptomatic but they may present with cough, fever, chest pain, recurrent pulmonary infections, and hemoptysis [ 6 ]. In our case, hemoptysis was the prominent symptom.…”

“…Infections may have a role in pathogenesis; however, congenital reasons cannot be omitted. It is theorized that the sequestration is a remnant of the ventral foregut, which migrates caudally [ 6 ].…”