Case Report
Published: Jun 29, 2025 | DOI: 10.24911/ejmcr.9-1656
A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure
Authors:
Tibet Ugur Kurak
, Kaan Esen
, Mustafa Kazar
, Fatma Bagriacik Ekinci
, Erhan Ayan
Article Info
Authors
Tibet Ugur Kurak
Department of Thoracic Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey
Kaan Esen
Department of Radiology, Faculty of Medicine, Mersin University, Mersin, Turkey
Mustafa Kazar
Department of Thoracic Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey
Fatma Bagriacik Ekinci
Department of Thoracic Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey
Erhan Ayan
Department of Thoracic Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey
Publication History
Received: January 06, 2025
Accepted: May 15, 2025
Published: June 29, 2025
Abstract
Background: Pulmonary sequestration (PS) is a dysfunctional, congenital malformation with no apparent connection to the tracheobronchial tree, fed by an aberrant arterial connection from the systemic circulation. PS is a rare congenital malformation. The fact that very few cases in the literature are supplied by three aberrant arterial branches originating from the aorta makes
our case even rarer.
Case Presentation: In our case, we will focus on a 24-year-old male patient who presented with complaints of cough and dyspnea, was investigated due to pneumonia-like symptoms resistant to antibiotic therapy and was diagnosed with intralobar PS (ILS). We performed left lower lobectomy on our patient with a hybrid approach combining video-assisted thoracoscopic surgery (VATS) and thoracotomy and achieved successful results.
Conclusion: ILS cases can be diagnosed late because they show pneumonic symptoms such as cough, chest pain, and dyspnea. PS should be considered in the differential diagnosis of recurrent pneumonia-like infections. The diagnosis should be confirmed by revealing aberrant arterial structures with imaging methods. In the patient’s treatment decision, the surgical method should be carefully selected according to the patient’s current condition. The hybrid approach allowed us to combine the advantages of commonly used VATS and thoracotomy while minimizing the disadvantages. This rare case, managed through an innovative surgical approach, has not only improved our clinical experience but also contributed meaningfully to the existing literature.
Keywords: kongenital pulmonary malformations, pulmonary sequestration, left lower lobectomy, hybrid thoracotomy
Pubmed Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. EJMCR. 2025; 29 (June 2025): -. doi:10.24911/ejmcr.9-1656
Web Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. https://ejmcr.com/articles/1656 [Access: June 29, 2025]. doi:10.24911/ejmcr.9-1656
AMA (American Medical Association) Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. EJMCR. 2025; 29 (June 2025): -. doi:10.24911/ejmcr.9-1656
Vancouver/ICMJE Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. EJMCR. (2025), [cited June 29, 2025]; 29 (June 2025): -. doi:10.24911/ejmcr.9-1656
Harvard Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan (2025) A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. EJMCR, 29 (June 2025): -. doi:10.24911/ejmcr.9-1656
Chicago Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. "A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure." 29 (2025), -. doi:10.24911/ejmcr.9-1656
MLA (The Modern Language Association) Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan. "A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure." 29.June 2025 (2025), -. Print. doi:10.24911/ejmcr.9-1656
APA (American Psychological Association) Style
Tibet Ugur Kurak, Kaan Esen, Mustafa Kazar, Fatma Bagriacik Ekinci, Erhan Ayan (2025) A Rare Case of Intralobar Pulmonary Sequestration with Triple Aberrant Arterial Supply: Succesful Surgical Management via Hybrid Procedure. , 29 (June 2025), -. doi:10.24911/ejmcr.9-1656