Objective:

To present a case of bilateral pulmonary sequestration complicated by Aspergillus infection and to describe the surgical approach using uniportal video-assisted thoracoscopic surgery (VATS), highlighting its significance in rare cases.

Approach:

Key Findings:

• Bilateral pulmonary sequestration is a rare condition, with this case presenting a unique anatomical challenge due to a fistulous tract and fungal infection, which complicates surgical planning.
• Histopathology confirmed the presence of bilateral intralobar pulmonary sequestration and Aspergillus hyphae.

Interpretation:

The case illustrates the complexity of managing bilateral pulmonary sequestration with concurrent Aspergillus infection and highlights the effectiveness of a staged surgical approach, suggesting areas for future research.

Limitations:

• The rarity of the condition limits generalizability of the findings and may affect clinical practice in similar cases.
• Long-term outcomes beyond one year post-surgery are not reported.

Conclusion:

Staged uniportal VATS, supported by preoperative 3D reconstruction, is an effective strategy for managing complex congenital lung malformations while preserving lung function, underscoring its importance in similar cases.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.