title: Infant with bilateral pulmonary sequestrations with portal venous drainage excised by video-assisted thoracic surgery.
abstract: BACKGROUND
  Bilateral pulmonary sequestrations are rare congenital anomalies. Despite its benign nature, the potential complications of pulmonary sequestration (PS) are significant, including recurrent pulmonary infections, hemoptysis, congestive heart failure, and malignant potential. Therefore, the main treatment is surgical excision, even for patients with asymptomatic PS.
  
  
  METHODS
  We present an infant in whom an intralobar PS of the right lung and an extralobar PS of the left lung were diagnosed on prenatal screening ultrasonography. Both were found to have venous drainage into the portal vein. Surgical excision was performed via video-assisted thoracic surgery (VATS) at 14 months of age.
  
  
  CONCLUSIONS
  PS may present with unique vascular connections, including venous drainage into the portal vein. VATS resection for pulmonary sequestration is feasible and effective as an alternative to bilateral thoracotomies, in the setting of extensive preoperative planning and performance by an experienced thoracoscopic surgeon.
authors.affiliation: The DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
authors.forename: Punam P
authors.initials: PP
authors.lastname: Parikh
authors.affiliation: The DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
authors.forename: Jun
authors.initials: J
authors.lastname: Tashiro
authors.affiliation: The DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
authors.forename: Veer
authors.initials: V
authors.lastname: Chahwala
authors.affiliation: The DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
authors.forename: Eduardo A
authors.initials: EA
authors.lastname: Perez
authors.affiliation: The DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida. Electronic address: jsola@med.miami.edu.
authors.forename: Juan E
authors.initials: JE
authors.lastname: Sola
mesh_terms: D000015:Abnormalities, Multiple; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D011169:Portal Vein / Q000002:abnormalities*; D011247:Pregnancy; D011296:Prenatal Diagnosis; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
keywords: Infant; Pulmonary sequestration; Thoracic surgery; Video-assisted