# Aneurysmal artery supplying pulmonary sequestration: successful combined approach

## TL;DR

A 62-year-old man with a rare lung condition was successfully treated using a combined minimally invasive surgical and endovascular approach.

## Contribution

The paper presents a successful combined approach for treating aneurysmal arteries supplying pulmonary sequestration.

## Key findings

- Thoracic endovascular aneurysm repair minimized bleeding risk and enabled safe pulmonary resection.
- A triportal video-assisted lobectomy was successfully performed after endograft placement.
- The approach allowed for minimally invasive treatment of a rare congenital lung malformation.

## Abstract

A 62-year-old man was diagnosed with an asymptomatic intralobar pulmonary sequestration supplied by a short-neck proximal 57×25 mm aneurysmal artery originating from the mid-descending aorta. The patient underwent thoracic endovascular aneurysm repair; an aortic endograft was released to entirely restore the aberrant vessel. Then, pulmonary resection was performed. A triportal video-assisted left lower lobectomy was carried out. The thoracic endovascular aneurysm repair minimized the risk of bleeding and allowed a safe pulmonary resection with a minimally invasive approach.

Pulmonary sequestration is an uncommon congenital malformation of the lungs characterized by nonfunctional lung tissue receiving its blood supply from an aberrant systemic artery, defined as intralobar pulmonary sequestration (IPS).