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

被引：32

作者：

Akiba T. ^{[1
]}

Marushima H. ^{[1
]}

Harada J. ^{[2
]}

Kobayashi S. ^{[1
]}

Morikawa T. ^{[3
]}

机构：

[1] Department of Surgery, Kashiwa Hospital, Jikei University School of Medicine, Kashiwashi, Chiba 277-8567

[2] Department of Radiology, Kashiwa Hospital, Jikei University School of Medicine, Chiba

[3] Division of General Thoracic Surgery, Jikei University School of Medicine, Tokyo

来源：

General Thoracic and Cardiovascular Surgery | 2008年 / 56卷 / 8期

关键词：

Angiography; Lung; Pulmonary vein; Three-dimensional multidetector computed tomography; Video-assisted thoracic surgery;

D O I：

10.1007/s11748-008-0258-3

中图分类号：

学科分类号：

摘要：

Few clinicians are familiar with the anatomy of anomalous pulmonary veins, and studies reporting patients who required right lower lobectomy for lung cancer and who had anomalies of the middle and lower pulmonary veins are even rarer. This report describes the case of a lung cancer patient who had an anomalous lateral part of the middle lobe vein (V4) draining into the right inferior pulmonary vein, which was confirmed by three-dimensional 64-row multidetector computed axial tomography (3D-MDCT) angiography. She was then successfully treated with video-assisted thoracic surgery. The preoperative 3D imaging of the pulmonary vein and artery allowed us to comprehend fully the patient's vascular anatomy before the operation. Thus, we recommend preoperative 3D-MDCT angiography for patients with lung cancer undergoing thoracic surgery, especially video-assisted thoracic surgery. © 2008 The Japanese Association for Thoracic Surgery.

引用

页码：413 / 416

页数：3

共 10 条

[1]

Akiba T., Marushima H., Takagi M., Odaka M., Harada J., Kobayashi S., Et al., Preoperative evaluation of abnormal anatomy in a patient with tracheal bronchus by three-dimensional 64-row MDCT bronchography and angiography: Report of a case, Surg Today

[2]

Watanabe S., Arai K., Watanabe T., Koda W., Urayama H., Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections, Ann Thorac Surg, 75, pp. 388-392, (2003)

[3]

Moore W.H., Bonvento M., Olivieri-Fitt R., Comparison of MDCT radiation dose: A phantom study, AJR Am J Roentgenol, 187, pp. 498-502, (2006)

[4]

Tsuboi M., Asamura H., Naruke T., Nakayama H., Kondo H., Tsuchiya R., A VATS lobectomy for lung cancer in a patient with an anomalous pulmonary vein: Report of a case, Surg Today, 27, pp. 1074-1076, (1997)

[5]

Minamoto K., Misao T., Takashima S., Nakano H., Successful thoracoscopic lobectomy for lung cancer in a patient with anatomic variation of the left inferior pulmonary vein, Acta Med Okayama, 61, pp. 103-106, (2007)

[6]

Haramati L.B., Moche I.E., Rivera V.T., Patel P.V., Heyneman L., McAdams H.P., Et al., Computed tomography of partial anomalous pulmonary venous connection in adults, J Comput Assist Tomogr, 27, pp. 743-749, (2003)

[7]

Yamashita H., Yamashita H., Variations in the pulmonary segments and the bronchovascular trees, Roentgenologic Anatomy of the Lung, pp. 70-107, (1978)

[8]

Marom E.M., Herndon J.E., Kim Y.H., McAdams H.P., Variations in pulmonary venous drainage to the left atrium: Implications for radiofrequency ablation, Radiology, 230, pp. 824-829, (2004)

[9]

Cronin P., Kelly A.M., Desjardins B., Patel S., Gross B.H., Kazerooni E.A., Et al., Normative analysis of pulmonary vein drainage patterns on multidetector CT with measurements of pulmonary vein ostial diameter and distance to first bifurcation, Acad Radiol, 14, pp. 178-188, (2007)

[10]

Asai K., Urabe N., Yajima K., Suzuki K., Kazui T., Right upper lobe venous drainage posterior to the bronchus intermedius: Preoperative identification by computed tomography, Ann Thorac Surg, 79, pp. 1866-1871, (2005)

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