Staged uniportal video-assisted thoracoscopic bilateral lower lobectomy for bilateral intralobar pulmonary sequestration complicated by Aspergillus infection: a case report - Report - MDSpire
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Staged uniportal video-assisted thoracoscopic bilateral lower lobectomy for bilateral intralobar pulmonary sequestration complicated by Aspergillus infection: a case report
Clinical Report: Uniportal VATS Bilateral Lower Lobectomy for BPS
Overview
This case study presents a 28-year-old woman with bilateral pulmonary sequestration complicated by Aspergillus infection, successfully treated with staged uniportal video-assisted thoracoscopic surgery (VATS). The approach utilized preoperative 3D reconstruction to enhance surgical planning and functional preservation.
Background
Bilateral pulmonary sequestration (BPS) is an extremely rare congenital anomaly that poses significant diagnostic and therapeutic challenges, particularly when complicated by infections such as Aspergillosis. Understanding the complexities of BPS is crucial for effective management, especially given its potential for severe clinical complications. This case highlights the importance of advanced imaging and minimally invasive surgical techniques in managing such intricate conditions.
Data Highlights
No numerical data available in the article.
Key Findings
A 28-year-old female presented with cough and hemoptysis due to bilateral intralobar pulmonary sequestration.
CT imaging with 3D reconstruction revealed multiple systemic arteries supplying the sequestered lobes.
Aspergillus infection was confirmed through sputum culture and bronchoalveolar lavage.
Staged uniportal VATS was performed, with the left lower lobe resected first, followed by the right lower lobe.
Histopathology confirmed the diagnosis of bilateral intralobar pulmonary sequestration and Aspergillus hyphae.
Postoperative recovery was excellent, with preserved lung function and no major complications after one year.
Clinical Implications
This case underscores the effectiveness of using 3D imaging for surgical planning in complex congenital anomalies like BPS. The staged uniportal VATS approach not only enhances safety but also aids in functional preservation, making it a viable option for similar cases.
Conclusion
The successful management of this rare case of bilateral pulmonary sequestration with Aspergillus infection demonstrates the potential of advanced surgical techniques and imaging in improving patient outcomes. Further studies may validate these findings in broader clinical contexts.
