Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review
Abstract Background Pulmonary sequestration is a rare pulmonary malformation, with intralobar pulmonary sequestration being the most common subtype. Lobectomy has generally been performed for its treatment, owing to unclear boundaries of the lesion. However, recent reports have introduced lung resec...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01758-w |
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| author | Chiaki Kanno Yujin Kudo Ryosuke Amemiya Jun Matsubayashi Hideyuki Furumoto Satoshi Takahashi Sachio Maehara Masaru Hagiwara Masatoshi Kakihana Toshitaka Nagao Tatsuo Ohira Norihiko Ikeda |
| author_facet | Chiaki Kanno Yujin Kudo Ryosuke Amemiya Jun Matsubayashi Hideyuki Furumoto Satoshi Takahashi Sachio Maehara Masaru Hagiwara Masatoshi Kakihana Toshitaka Nagao Tatsuo Ohira Norihiko Ikeda |
| author_sort | Chiaki Kanno |
| collection | DOAJ |
| description | Abstract Background Pulmonary sequestration is a rare pulmonary malformation, with intralobar pulmonary sequestration being the most common subtype. Lobectomy has generally been performed for its treatment, owing to unclear boundaries of the lesion. However, recent reports have introduced lung resection using intravenous indocyanine green (ICG) as a treatment for pulmonary sequestrations. Case description A 34-year-old woman presented with chest pain, and enhanced chest computed tomography (CT) displayed a solid mass of 4.5 × 3.1 cm in the right S10 area. An aberrant artery was found running from the celiac artery through the diaphragm to the thoracic cavity. The patient was diagnosed as having pulmonary sequestration Pryce type III, and surgical resection was performed. Intrathoracic findings demonstrated that the precise area of the pulmonary sequestration could not be clearly identified, and a 5-mm aberrant artery was present in the pulmonary ligament. Following the separation of the aberrant artery, intravenous injection of ICG clearly delineated the border between the normal lung tissue and the pulmonary sequestration. Wedge resection was then performed without any postoperative events, and the pathological diagnosis was also pulmonary sequestration. Conclusions We herein reported a case of a patient who underwent sublobar resection for intrapulmonary sequestration using intravenous ICG injection, together with a literature review. Our case suggests that a comprehensive understanding of abnormal vessels and pulmonary vasculature in pulmonary resection for intrapulmonary sequestrations, complemented with the use of ICG, might potentially avoid unnecessary pulmonary resection and enable sublobar surgical resection. |
| first_indexed | 2024-03-09T14:58:27Z |
| format | Article |
| id | doaj.art-c593ef9e4f9f400e8083b77b31068b1b |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-09T14:58:27Z |
| publishDate | 2023-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-c593ef9e4f9f400e8083b77b31068b1b2023-11-26T14:03:37ZengSpringerOpenSurgical Case Reports2198-77932023-10-01911610.1186/s40792-023-01758-wSublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature reviewChiaki Kanno0Yujin Kudo1Ryosuke Amemiya2Jun Matsubayashi3Hideyuki Furumoto4Satoshi Takahashi5Sachio Maehara6Masaru Hagiwara7Masatoshi Kakihana8Toshitaka Nagao9Tatsuo Ohira10Norihiko Ikeda11Department of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Anatomic Pathology, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Anatomic Pathology, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityDepartment of Surgery, Tokyo Medical UniversityAbstract Background Pulmonary sequestration is a rare pulmonary malformation, with intralobar pulmonary sequestration being the most common subtype. Lobectomy has generally been performed for its treatment, owing to unclear boundaries of the lesion. However, recent reports have introduced lung resection using intravenous indocyanine green (ICG) as a treatment for pulmonary sequestrations. Case description A 34-year-old woman presented with chest pain, and enhanced chest computed tomography (CT) displayed a solid mass of 4.5 × 3.1 cm in the right S10 area. An aberrant artery was found running from the celiac artery through the diaphragm to the thoracic cavity. The patient was diagnosed as having pulmonary sequestration Pryce type III, and surgical resection was performed. Intrathoracic findings demonstrated that the precise area of the pulmonary sequestration could not be clearly identified, and a 5-mm aberrant artery was present in the pulmonary ligament. Following the separation of the aberrant artery, intravenous injection of ICG clearly delineated the border between the normal lung tissue and the pulmonary sequestration. Wedge resection was then performed without any postoperative events, and the pathological diagnosis was also pulmonary sequestration. Conclusions We herein reported a case of a patient who underwent sublobar resection for intrapulmonary sequestration using intravenous ICG injection, together with a literature review. Our case suggests that a comprehensive understanding of abnormal vessels and pulmonary vasculature in pulmonary resection for intrapulmonary sequestrations, complemented with the use of ICG, might potentially avoid unnecessary pulmonary resection and enable sublobar surgical resection.https://doi.org/10.1186/s40792-023-01758-wPulmonary sequestrationPryce classificationIndocyanine green (ICG)Video-assisted thoracic surgery (VATS) |
| spellingShingle | Chiaki Kanno Yujin Kudo Ryosuke Amemiya Jun Matsubayashi Hideyuki Furumoto Satoshi Takahashi Sachio Maehara Masaru Hagiwara Masatoshi Kakihana Toshitaka Nagao Tatsuo Ohira Norihiko Ikeda Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review Surgical Case Reports Pulmonary sequestration Pryce classification Indocyanine green (ICG) Video-assisted thoracic surgery (VATS) |
| title | Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review |
| title_full | Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review |
| title_fullStr | Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review |
| title_full_unstemmed | Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review |
| title_short | Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review |
| title_sort | sublobar resection utilizing near infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration a case report and literature review |
| topic | Pulmonary sequestration Pryce classification Indocyanine green (ICG) Video-assisted thoracic surgery (VATS) |
| url | https://doi.org/10.1186/s40792-023-01758-w |
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