A CASE OF THORACOSCOPIC TREATMENT FOR EXTRALOBAR PULMONARY SEQUESTRATION

A 49-year-old female was admitted to the hospital because of an abnormal shadow on a chest X-ray film. Chest X-ray examination revealed an about 3×2 cm an sharply circumscrived tumor overlapping cardiac shadow and chest CT showed a tumor in the left lower posterior mediastinum. Neurogenic tumor or congenital cyst was suspected. We performed thoracoscopic surgery when the polypiform tumor wlas found arising from the parietal pleura of the discending aorta near the diaphragm. This tumor was diagnosed as extralobar pulmonary sequestration because of abnormal artery fed from the aorta and postoperative microscopic findings. The postoperative course was uneventful, and she was discharged 5 days after the operation without wound pain. Thoracoscopic surgery is very useful for diagnosis and treatment of intrathoracic tumors, because it provides minimal surgical intervention and pain.