A 49-year-old man was admitted to the authors’ hospital for an acute hemoptysis. A chest x-ray revealed an opacity in the left lower lobe. CT scan confirmed the presence of pulmonary consolidation associated with ground glass opacity and bronchiectasis. There was anomalous vascularization by a systemic artery from the sub-diaphragmatic aorta. A left lower lobectomy was performed through a thoracoscopic three-port approach. The patient had a good clinical performance and an uneventful postoperative recovery.
