A rare case of pulmonary sequestration with three aberrant artery branch supply

<p><strong>Background:</strong> Pulmonary sequestration (PS) is a dysfunctional, congenital malformation with no apparent connection to the tracheobronchial tree, fed by an aberrant arterial connection from the systemic circulation. PS is a rare congenital malformation. The fact that very few cases in the literature are supplied by three aberrant arterial branches originating from the aorta makes our case even rarer.<br /><strong>Case Presentation:</strong> In our case, we will focus on a 24-year-old male patient who presented with complaints of cough and dyspnea, was investigated due to pneumonia-like symptoms resistant to antibiotic therapy and was diagnosed with intralobar PS (ILS). We performed left lower lobectomy on our patient with a hybrid approach combining video-assisted thoracoscopic surgery (VATS) and thoracotomy and achieved successful results.<br /><strong>Conclusion:</strong> ILS cases can be diagnosed late because they show pneumonic symptoms such as cough, chest pain, and dyspnea. PS should be considered in the differential diagnosis of recurrent pneumonia-like infections. The diagnosis should be confirmed by revealing aberrant arterial structures with imaging methods. In the patient’s treatment decision, the surgical method should be carefully selected according to the patient’s current condition. The hybrid approach allowed us to combine the advantages of commonly used VATS and thoracotomy while minimizing the disadvantages. This rare case, managed through an innovative surgical approach, has not only improved our clinical experience but also contributed meaningfully to the existing literature.</p>