Pulmonary sequestrations are rare congenital malformations. They are often located in the lower lobes, and they are supplied by an aberrant systemic vessel arising from the thoracic aorta or abdominal arteries. These pulmonary malformations are divided into intra- and extralobar sequestrations, depending on the respective lack or presence of an independent pleural covering. Pulmonary sequestration can be asymptomatic or lead to recurrent pulmonary infections. The goal of this study was to analyse the feasibility and safety of a hybrid sequential approach. We report a small series of intralobar pulmonary sequestrations, from November 2017 to December 2018, successfully treated with a hybrid minimally invasive approach consisting of endovascular embolization of the aberrant arterial branch followed by video-assisted thoracoscopic lobectomy the day after. Thoracic pain following endovascular embolization was noted in all cases. Patients were discharged early in the absence of major postoperative complications. Prolonged air leak was observed in only 1 case. Despite the presence of sequestration-related pulmonary inflammation, in our experience, hybrid treatment for intralobar pulmonary sequestration is a safe and reproducible approach in terms of postoperative complications and hospital stay.

中文翻译：

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叶内肺隔离症的混合微创治疗：单中心经验。


肺隔离症是罕见的先天畸形。它们通常位于下叶，由胸主动脉或腹动脉产生的异常全身血管供血。这些肺部畸形分为叶内和叶外隔离症，具体取决于是否存在独立的胸膜覆盖物。肺隔离症可能无症状或导致反复肺部感染。本研究的目的是分析混合序贯方法的可行性和安全性。我们报告了 2017 年 11 月至 2018 年 12 月间的一系列叶内肺隔离症，这些患者采用混合微创方法成功治疗，包括异常动脉分支的血管内栓塞，以及第二天的电视胸腔镜肺叶切除术。所有病例均出现血管内栓塞术后胸痛。患者在没有出现重大术后并发症的情况下提前出院。仅 1 例出现长时间漏气。尽管存在与隔离相关的肺部炎症，但根据我们的经验，就术后并发症和住院时间而言，叶内肺隔离的混合治疗是一种安全且可重复的方法。