Right Lung Middle Lobe Agenesis and Multiple Bone Anomalies

Abstract Background Congenital lobar emphysema (CLE) is a congenital pulmonary cystic disease, characterized by overinflation of the pulmonary lobe and compression of the surrounding areas. Most patients with symptoms need an urgent surgical intervention. Caution and alertness for CLE is required in cases of local emphysema on chest X-ray images of extremely premature infants with bronchopulmonary dysplasia (BPD). Case presentation Here, we report a case of premature infant with 27 + 4 weeks of gestational age who suddenly presented with severe respiratory distress at 60 days after birth. Chest X-ray and computed tomography (CT) indicated emphysema in the middle lobe of the right lung. The diagnosis of CLE was confirmed by histopathological examinations. Conclusions Although extremely premature infants have high-risk factors of bronchopulmonary dysplasia due to their small gestational age, alertness for CLE is necessary if local emphysema is present. Timely pulmonary CT scan and surgical interventions should be performed to avoid the delay of the diagnosis and treatment.

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Vein or artery-first resection in right middle lobe segmentectomy: which preserves more lung?

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivab024 ◽

2021 ◽

Author(s):

Min Zhang ◽

Ning Mao ◽

Qing-Chen Wu ◽

Ming-Jian Ge

Keyword(s):

Middle Lobe ◽

Artery First ◽

Right Middle Lobe

Abstract We report the thoracoscopic RS5 segmentectomy with VVBA (V, vein; V, ventilation; B, bronchus; A, artery) method and confirmed that the segmental plane visualized by vein-first resection is slightly narrower than the traditional artery-first resection.

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Anatomical variants of pulmonary segments and uni-portal thoracoscopic segmentectomy for lung cancer in a patient with Kartagener syndrome: a case report

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-021-01685-3 ◽

2021 ◽

Author(s):

Di Zhou ◽

Ye Tian ◽

Yao Lu ◽

Xueying Yang

Keyword(s):

Lung Cancer ◽

Rare Variants ◽

Sagittal Plane ◽

Early Stage ◽

Situs Inversus Totalis ◽

Middle Lobe ◽

The Body ◽

Kartagener Syndrome ◽

Early Stage Lung Cancer ◽

Cancer Lesion

AbstractSitus inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS1). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS1 and a partial excision to the left middle lobe with bronchiectasis through a single 3 cm length incision. We believe that the case can give surgeons some experience and inspiration.

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