Staged uniportal video-assisted thoracoscopic bilateral lower lobectomy for bilateral intralobar pulmonary sequestration complicated by Aspergillus infection: a case report - Takeaways - MDSpire

Staged uniportal video-assisted thoracoscopic bilateral lower lobectomy for bilateral intralobar pulmonary sequestration complicated by Aspergillus infection: a case report

  • By

  • Dongjie Ma

  • Yang Song

  • Yicheng Liang

  • Xiaohua Shi

  • Hongsheng Liu

  • Zhiyong Zhang

  • Shanqing Li

  • June 11, 2026

  • 0 min

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  • 1

    Bilateral pulmonary sequestration (BPS) is a rare congenital anomaly characterized by non-functioning lung tissue with aberrant arterial supply.

  • 2

    A 28-year-old woman with BPS presented with cough, hemoptysis, and bilateral lower lung masses, confirmed by CT and 3D reconstruction.

  • 3

    Aspergillus infection was confirmed through sputum culture and bronchoalveolar lavage, complicating the patient's condition.

  • 4

    Staged uniportal video-assisted thoracoscopic bilateral lower lobectomy was performed, guided by 3D reconstruction, to ensure safety and functional preservation.

  • 5

    Post-surgery, the patient showed excellent recovery with preserved lung function and no major complications one year later.

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