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Uniportal VATS right superior lobectomy: management of pulmonary vein variation: a case report
- Source :
- Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-4 (2020), Journal of Cardiothoracic Surgery
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Background Although there are lots of variations of pulmonary veins including dangerous type that could cause serious complications during surgery, limited information has been reported about these variations. We have experienced an extremely rare anomaly of the right superior pulmonary vein during right superior lobectomy. We used a technique called “non fissure” to manage the right superior pulmonary vein, and the results were satisfactory. Case presentation A 66-year-old woman with lung nodules visited our hospital. Chest computed tomography revealed multiple ground glass nodules in the right lung, the main pulmonary nodule was 11 mm in diameter and presented mixed density. The patient had a previous history of rectal cancer surgery. Contrast-enhanced three-dimensional computed tomography showed that the right superior pulmonary vein abnormally ran between the pulmonary artery trunk and the right main bronchus. We performed a right superior lobectomy and lymph node sampling by uniportal video-assisted thoracoscopic surgery. The pathological findings showed microinvasive adenocarcinoma with no lymphatic metastasis. She was discharged 7 days after surgery without any surgical complications. Conclusions Although the variation of pulmonary vein is uncommon, it is dangerous to misidentify in the operation. Preoperative three-dimensional computed tomography is useful for avoiding unexpected bleeding. The technique “no fissure” might be a useful way to manage the variation of pulmonary vein.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
lcsh:Surgery
Case Report
Variation
VATS
Adenocarcinoma
030204 cardiovascular system & hematology
Pulmonary vein
lcsh:RD78.3-87.3
03 medical and health sciences
0302 clinical medicine
medicine.artery
medicine
Humans
Pneumonectomy
Lung cancer
Aged
Lung
Thoracic Surgery, Video-Assisted
business.industry
Anatomic Variation
lcsh:RD1-811
General Medicine
medicine.disease
Trunk
Cardiac surgery
medicine.anatomical_structure
030228 respiratory system
Pulmonary Veins
lcsh:Anesthesiology
Cardiothoracic surgery
Right Main Bronchus
Pulmonary artery
Female
Surgery
Radiology
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 17498090
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiothoracic Surgery
- Accession number :
- edsair.doi.dedup.....5f7dba98f70952d55479461dd2bccd4f