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Ann Thorac Surg 2004;78:1844-1845
© 2004 The Society of Thoracic Surgeons

Case report

Video-Assisted Thoracoscopic Wedge Resection for Pulmonary Sequestration

Tsutomu Sakuma, MD, PhD*,a, Makoto Sugita, MD, PhDa, Motoyasu Sagawa, MD, PhDa, Masanobu Ishigaki, MD, PhDb, Hirohisa Toga, MD, PhDb

a Department of Thoracic Surgery, Uchinada, Ishikawa, Japan
b Department of Pulmonary Medicine, Kanazawa Medical University, Uchinada, Ishikawa, Japan

Accepted for publication July 17, 2003.

* Address reprint requests to Dr Sakuma, Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan
sakuma-t{at}kanazawa-med.ac.jp

A 60-year-old woman underwent a video-assisted thoracoscopic wedge resection of intralobar pulmonary sequestration instead of a lobotomy because the lesion was localized in the right basal segment. Preoperative 3-dimensional computed tomography was useful for identifying an aberrant artery arising from the thoracic aorta and distributing to the lesion. A successful outcome more than 4 years after the surgery indicates that a wedge resection under video-assisted thoracoscopy may prove to be a therapeutic option for localized pulmonary sequestration.




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