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Aberrant mediastinal mediobasal segmental pulmonary artery in a patient with lung cancer undergoing right lower lobectomy: a case report

Authors :
Kazuyuki Komori
Hiroshi Hashimoto
Kotaro Yoshikawa
Koji Kameda
Shinichi Taguchi
Yuichi Ozeki
Source :
Journal of Cardiothoracic Surgery, Vol 17, Iss 1, Pp 1-5 (2022)
Publication Year :
2022
Publisher :
BMC, 2022.

Abstract

Abstract Background A mediastinal mediobasal segmental pulmonary artery (A7) from the right main pulmonary artery is extremely rare. Case presentation We report the case of a 71-year-old woman with an aberrant mediastinal A7 who underwent right lower lobectomy for lung cancer (cT1bN0M0, stage IA2). Preoperative three-dimensional computed tomography (CT) angiography revealed an aberrant mediastinal A7 in the right main pulmonary artery. Right lower lobectomy and mediastinal lymph node dissection were performed. Intraoperatively, A7 was observed between the superior and inferior pulmonary veins and in the front of the lower bronchus near the anterior hilum. The artery was carefully dissected from the caudal side after inferior pulmonary vein dissection. The lung parenchyma, which was within the fissure due to poor lobulation between the middle and lower lobes, was safely divided. Conclusions Thoracic surgeons need to carefully evaluate CT angiography or enhanced multidetector CT findings at preoperative conferences and always keep this anomaly in mind.

Details

Language :
English
ISSN :
17498090
Volume :
17
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Cardiothoracic Surgery
Publication Type :
Academic Journal
Accession number :
edsdoj.06dc17be2d45b884184eec4809bdbb
Document Type :
article
Full Text :
https://doi.org/10.1186/s13019-022-01837-3