Thoracoscopic Segmentectomy for Right Upper Lobe With Unique Anatomic Variation.

Zhang, Jianbin; Li, Hongwei; Yu, Caihua; Zhu, Yilv · Ann Thorac Surg · 2022

case_report · Level V

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Abstract

Combined variation of bronchus and pulmonary vein is rare. We report the case of a 32-year-old man with lung adenocarcinoma in whom three-dimensional computed tomography bronchography and angiography displayed a unique anatomic variation in the right upper lobe. The posterior subsegmental bronchi originated from the apical segmental bronchus and the anterior segmental bronchus, respectively; the apical subsegmental vein shared a trunk with the posterior subsegmental vein. Based on this discovery, combined pulmonary segmentectomy was performed accurately.

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