Anomalous V 2 of the left pulmonary vein detected using three-dimensional computed tomography in a patient with lung cancer: A case report

Abstract Background A displaced left B1 + 2 accompanied by an anomalous pulmonary vein is a rare condition involving complex structures. There is a risk of unexpected injuries to bronchi and blood vessels when patients with such anomalies undergo surgery for lung cancer. Case presentation A 59-year-old male with suspected lung cancer in the left lower lobe was scheduled to undergo surgery. Chest computed tomography revealed a displaced B1 + 2 and hyperlobulation between S1 + 2 and S3, while the interlobar fissure between S1 + 2 and S6 was completely fused. Three-dimensional computed tomography (3D-CT) revealed an anomalous V1 + 2 joining the left inferior pulmonary vein and a branch of the V1 + 2 running between S1 + 2 and S6. We performed left lower lobectomy via video-assisted thoracic surgery, while taking care with the abovementioned anatomical structures. The strategy employed in this operation was to preserve V1 + 2 and confirm the locations of B1 + 2 and B6 when dividing the fissure. Conclusion The aim of the surgical procedure performed in this case was to divide the fissure between S1 + 2 and the inferior lobe to reduce the risk of an unexpected bronchial injury. 3D-CT helps surgeons to understand the stereoscopic positional relationships among anatomical structures.

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Unusual pulmonary vein variant in a patient with right upper lobe lung cancer

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa113 ◽

2020 ◽

Vol 2020 (7) ◽

Author(s):

Rika Tobita ◽

Ryota Nakamura ◽

Yoshihisa Inage

Keyword(s):

Computed Tomography ◽

Lung Cancer ◽

Pulmonary Artery ◽

Pulmonary Vein ◽

Thoracoscopic Surgery ◽

Lung Resection ◽

Three Dimensional ◽

3D Ct ◽

Anomalous Pulmonary Vein ◽

The Relationship

Abstract It is essential to understand individual pulmonary anatomy, and the relationship between the tumor and surrounding organ, when lung resection is conducted. Recently, many anomalous pulmonary venous variations have been detected using three-dimensional computed tomography (3D-CT). Herein, we report the case of a 62-year-old women with lung cancer and an anomalous right upper lobe pulmonary vein that drained into the left atrium between the pulmonary artery and bronchus. Preoperative 3D-CT clearly demonstrated the anomalous pulmonary vein, and we safely performed lung resection by thoracoscopic surgery. Therefore, 3D-CT images can help ensure the safety of patients with aberrant vasculature during lung resection.

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Anomalous pulmonary vein detected using three-dimensional computed tomography in a patient with lung cancer undergoing thoracoscopic lobectomy

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-008-0258-3 ◽

2008 ◽

Vol 56 (8) ◽

pp. 413-416 ◽

Cited By ~ 20

Author(s):

Tadashi Akiba ◽

Hideki Marushima ◽

Junta Harada ◽

Susumu Kobayashi ◽

Toshiaki Morikawa

Keyword(s):

Computed Tomography ◽

Lung Cancer ◽

Pulmonary Vein ◽

Three Dimensional ◽

Thoracoscopic Lobectomy ◽

Anomalous Pulmonary Vein

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Thoracoscopic segmentectomy assisted by three-dimensional computed tomography bronchography and angiography for lung cancer in a patient living with situs inversus totalis: A case report

World Journal of Clinical Cases ◽

10.12998/wjcc.v7.i22.3844 ◽

2019 ◽

Vol 7 (22) ◽

pp. 3844-3850

Author(s):

Yun-Jiang Wu ◽

Yang Bao ◽

Ya-Li Wang

Keyword(s):

Computed Tomography ◽

Lung Cancer ◽

Case Report ◽

Situs Inversus ◽

Three Dimensional ◽

Situs Inversus Totalis

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Right top pulmonary vein preoperatively identified by three-dimensional computed tomography in a patient with pulmonary hamartoma: A case report

The Journal of the Japanese Association for Chest Surgery ◽

10.2995/jacsurg.31.778 ◽

2017 ◽

Vol 31 (6) ◽

pp. 778-783

Author(s):

Kentaro Hirohashi ◽

Takashi Anayama ◽

Marino Yamamoto ◽

Nobutaka Kawamoto ◽

Hironobu Okada ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Pulmonary Vein ◽

Three Dimensional ◽

Pulmonary Hamartoma

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The first rib hypoplasia and the aberrant pulmonary artery branch detected by three-dimensional computed tomography in a surgical case with apical lung cancer, a case report

BMC Surgery ◽

10.1186/s12893-016-0199-1 ◽

2017 ◽

Vol 17 (1) ◽

Author(s):

Yasoo Sugiura ◽

Hiroyuki Fujimoto ◽

Masao Naruke ◽

Toshinori Hashizume ◽

Shizuka Kaseda ◽

...

Keyword(s):

Computed Tomography ◽

Lung Cancer ◽

Case Report ◽

Pulmonary Artery ◽

Three Dimensional ◽

Surgical Case ◽

Pulmonary Artery Branch ◽

First Rib ◽

Aberrant Pulmonary Artery ◽

Artery Branch

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Lobectomy for lung cancer with a displaced left B1+2 and an anomalous pulmonary vein: a case report

10.21203/rs.3.rs-101241/v1 ◽

2020 ◽

Author(s):

Shinichi Sakamoto ◽

Hiromitsu Takizawa ◽

Naoya Kawakita ◽

Akira Tangoku

Keyword(s):

Computed Tomography ◽

Lung Cancer ◽

Pulmonary Vein ◽

Three Dimensional ◽

Lower Lobe ◽

Rare Condition ◽

3D Ct ◽

Anatomical Structures ◽

Case Presentation ◽

Anomalous Pulmonary Vein

Abstract Background: A displaced left B1+2 accompanied by an anomalous pulmonary vein is a rare condition involving complex structures. There is a risk of unexpected injuries to bronchi and blood vessels when patients with such anomalies undergo surgery for lung cancer.Case presentation: A 59-year-old male with suspected lung cancer in the left lower lobe was scheduled to undergo surgery. Chest computed tomography revealed a displaced B1+2 and hyperlobulation between S1+2 and S3, while the interlobar fissure between S1+2 and S6 was completely fused. Three-dimensional computed tomography (3D-CT) revealed an anomalous V1+2 joining the left inferior pulmonary vein and a branch of the V1+2 running between S1+2 and S6. We performed left lower lobectomy via video-assisted thoracic surgery, while taking care with the abovementioned anatomical structures. The strategy employed in this operation was to preserve V1+2 and confirm the locations of B1+2 and B6 when dividing the fissure.Conclusion: The aim of the surgical procedure performed in this case was to divide the fissure between S1+2 and the inferior lobe to reduce the risk of an unexpected bronchial injury. 3D-CT helps surgeons to understand the stereoscopic positional relationships among anatomical structures.

Download Full-text