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

BackgroundThis article reports a case of a intralobar pulmonary sequestration (IPS) with a significantly large feeding artery aneurysm and shares the successful treatment experience.Case presentationA male was diagnosed with IPS combined with a feeding artery aneurysm approximately 74 mm × 61 mm in...

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Main Authors: Wei Weng, Xinle Chi, Ze Liu, Weiqian Chen, Shengze Wang, Wenjie Cai, Hai Wu, Yaomeng Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2025.1481819/full
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author Wei Weng
Xinle Chi
Ze Liu
Weiqian Chen
Shengze Wang
Wenjie Cai
Hai Wu
Yaomeng Chen
author_facet Wei Weng
Xinle Chi
Ze Liu
Weiqian Chen
Shengze Wang
Wenjie Cai
Hai Wu
Yaomeng Chen
author_sort Wei Weng
collection DOAJ
description BackgroundThis article reports a case of a intralobar pulmonary sequestration (IPS) with a significantly large feeding artery aneurysm and shares the successful treatment experience.Case presentationA 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.ConclusionWhen 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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institution Kabale University
issn 2296-875X
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj-art-32e84e928d6649d19285bcdd3a92f94d2025-02-04T06:31:43ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-02-011210.3389/fsurg.2025.14818191481819Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case reportWei Weng0Xinle Chi1Ze Liu2Weiqian Chen3Shengze Wang4Wenjie Cai5Hai Wu6Yaomeng Chen7Department of Radiology, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Radiology, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Nuclear Medicine, Ningbo Hangzhou Bay Hospital, Ningbo, Zhejiang, ChinaDepartment of Respiratory Medicine, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Radiology, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Science and Education, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Radiology, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaDepartment of Radiology, The Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, Zhejiang, ChinaBackgroundThis article reports a case of a intralobar pulmonary sequestration (IPS) with a significantly large feeding artery aneurysm and shares the successful treatment experience.Case presentationA 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.ConclusionWhen 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.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1481819/fullintralobar pulmonary sequestrationaneurysmthoracoscopecongenital anomalycase report
spellingShingle Wei Weng
Xinle Chi
Ze Liu
Weiqian Chen
Shengze Wang
Wenjie Cai
Hai Wu
Yaomeng Chen
Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
Frontiers in Surgery
intralobar pulmonary sequestration
aneurysm
thoracoscope
congenital anomaly
case report
title Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
title_full Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
title_fullStr Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
title_full_unstemmed Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
title_short Intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years: a case report
title_sort intralobar pulmonary sequestration complicated by a giant supplying artery aneurysm presenting for 9 years a case report
topic intralobar pulmonary sequestration
aneurysm
thoracoscope
congenital anomaly
case report
url https://www.frontiersin.org/articles/10.3389/fsurg.2025.1481819/full
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