A Horseshoe intralobar lung sequestration resection by bilateral Robot-Assisted Surgery

We present the case of a 20-year-old male presenting a right lower intralobar pulmonary "horseshoe" sequestration extending into the left cavity supplied by four aberrant arteries from the thoracic descending aorta. The surgical approach for this exceptional and challenging presentation was based on thorough analysis of the chest CT scan aided by 3D reconstructions. The latter helped us better understand this complex malformation. Surgery was done by robot-assisted bilateral approach with en bloc extraction through the left side.