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Journal of Cardiothoracic Surgery

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Open Access 01-12-2016 | Case report

Inadvertently transected left superior pulmonary vein during thoracoscopic left lower lobectomy

Authors: Yangki Seok, Eungbae Lee

Published in: Journal of Cardiothoracic Surgery | Issue 1/2016

Abstract

Background

There are several anatomical variations of the pulmonary vein which can cause serious complications in pulmonary lobectomy.

Case presentation

We inadvertently divided the left superior pulmonary vein during thoracoscopic left lower lobectomy in a lung cancer patient. Retrospective review of the preoperative computed tomography showed extra-pericardial common trunk of the left pulmonary venous system. Left superior pulmonary vein was reimplanted into stump of divided common trunk via thoracotomy.

Conclusions

Awareness of vascular anomalies will help thoracic surgeons to prevent potential morbidity and mortality from complications.

Yoldas B, Gursoy S. A pulmonary vascular variation to be considered in resective lung surgical procedures. Ann Thorac Surg. 2014;97:715.CrossRefPubMed

Sugimoto S, Izumiyama O, Yamashita A, Baba M, Hasegawa T. Anatomy of inferior pulmonary vein should be clarified in lower lobectomy. Ann Thorac Surg. 1998;66:1799–800.CrossRefPubMed

Liang C, Wen H, Guo Y, Shi B, Tian Y, Song Z, et al. Severe intraoperative complications during VATS Lobectomy compared with thoracotomy lobectomy for early stage non-small cell lung cancer. J Thorac Dis. 2013;5:513–7.PubMedPubMedCentral

Rajiah P, Kanne JP. Computed tomography of pulmonary venous variants and anomalies. J Cardiovasc Comput Tomogr. 2010;4:155–63.CrossRefPubMed

Matsumoto I, Ohta Y, Tsunezuka Y, Sawa S, Fujii S, Saito K, et al. A surgical case of lung cancer in a patient with the left superior and inferior pulmonary veins forming a common trunk. Ann Thorac Cardiovasc Surg. 2005;11:316–9.PubMed

Marom EM, Herndon JE, Kim YH, McAdams HP. Variations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology. 2004;230:824–9.CrossRefPubMed

Title: Inadvertently transected left superior pulmonary vein during thoracoscopic left lower lobectomy
Authors: Yangki Seok
Eungbae Lee
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2016
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-016-0469-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Inadvertently transected left superior pulmonary vein during thoracoscopic left lower lobectomy

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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Reviewer acknowledgment 2015