Hybrid lung malformation with intralobar pulmonary sequestration and congenital cystic adenomatoid malformation (CCAM): thoracoscopic left lower lobectomy (LLL)
Epublication WebSurg.com, Jul 2015;15(07). URL: http://websurg.com/doi/vd01en4555
This is the case of an infant presenting with a hybrid left lower lung malformation with intralobar pulmonary sequestration and congenital cystic adenomatoid malformation (CCAM). The systemic arterial vascularization of the sequestration originated from the thoracic aorta. The infant was 8 months old when the thoracoscopic procedure was performed. Prenatal diagnosis helped to identify the uncomplicated lung malformation. A CT-scan was performed when the patient was 6 months old before surgery was scheduled. The surgical intervention, a left lower lobectomy, was immediately preceded by a bronchial endoscopy in order to control the anatomy, the good health of the airway tree, and to place a blocker in the left main bronchus. The first operative step consisted in a ligation-division of the systemic artery as close to the diaphragm as possible. The second operative step consisted in a conventional left lower lobectomy with primary treatment of pulmonary arteries, veins, and bronchi.