Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1481819

Wei Weng, Xinle Chi, Ze Liu, Weiqian Chen, Shengze Wang, Wenjie Cai, Hai Wu, Yaomeng Chen

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Abstract

Background: This article reports a case of a intralobar pulmonary sequestration (IPS) with a significantly large feeding artery aneurysm and shares the successful treatment experience.

Case presentation: A male was diagnosed with IPS combined with a feeding artery aneurysm approximately 74 mm × 61 mm in nine years ago but refused thoracotomy at that time. The patient presented this time due to an infection, and a CT scan revealed a significant increase in the lesion size to approximately 123 mm × 100 mm. After controlling the pulmonary inflammation, the patient underwent thoracoscopic ligation of the supplying artery, followed by an open chest excision of the sequestrated pulmonary aneurysm and left lower lobectomy, and the recovery post-surgery was very good.

Conclusion: When a sequestrated lung enlarges significantly, it is crucial to consider not only the conventional possibility of malignancy but also the rare coexistence of aneurysms. Thoracoscopic ligation of the supplying artery followed by open chest surgery is an effective treatment approach for IPS combined with a large feeding artery aneurysm.

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肺叶内肺隔离并发巨大供应动脉瘤9年1例。

背景：本文报告一例伴有明显较大供血动脉瘤的肺瓣内隔离（IPS），并分享其成功的治疗经验。病例介绍：一名男性患者于9年前被诊断为IPS合并进食动脉瘤，约为74 mm × 61 mm，但当时拒绝开胸手术。患者这次就诊是由于感染，CT扫描显示病灶大小明显增加至约123 mm × 100 mm。在肺部炎症得到控制后，患者行胸腔镜供血动脉结扎术，随后行开胸切除隔离肺动脉瘤及左下叶切除术，术后恢复良好。结论：当隔离肺明显增大时，不仅要考虑常规的恶性可能性，而且要考虑罕见的动脉瘤共存的可能性。胸腔镜下供血动脉结扎后开胸手术是治疗IPS合并大供血动脉瘤的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.