Pulmonary Sequestration with Rare Blood Supply in an Asymptomatic Adult Female

Intralobar pulmonary sequestration with two aberrant vessels connected to aorta is very rare. We describe the case of a 61-year-oldasymptomatic Chinese female with an incidental finding of abnormal chest radiograph showing a left lower lobe mass. Computed Tomography scan of the Thorax (CT Thorax) revealed a cystic mass in the left lower lobe, supplied by two branches from the thoracic aorta, likely to be intra lobar pulmonary sequestration. A dystrophic bronchial tree that did not communicate with the normal bronchial tree was identified. The sequestered lung was completely excised via Video-Assisted Thoracoscopic Surgery (VATS). The patient had an uncomplicated clinical course after surgery and was discharged on postoperative-day three in satisfactory condition. Histology reviewed mild chronic inflammation along with overlying interstitial fibrosis and bronchial metaplasia. In addition, bronchial plugging along with an abundant arterial supply was identified to be consistent with intralobar pulmonary sequestration CT Thorax is ideal to visualise the vascular anatomy which is essential for surgical management. Were commend that surgical segmental resection with VATS should continue to be the standard of care in asymptomatic adult patients with this rare condition.