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Three-dimensional computed tomography for lung cancer in a patient with three right vein ostia.

Authors
  • Akiba, Tadashi
  • Tabei, Isao
  • Kinoshita, Satoki
  • Yanagisawa, Satoru
  • Kobayashi, Susumu
  • Odaka, Makoto
  • Takeyama, Hiroshi
  • Morikawa, Toshiaki
Type
Published Article
Journal
General thoracic and cardiovascular surgery
Publication Date
May 01, 2011
Volume
59
Issue
5
Pages
376–379
Identifiers
DOI: 10.1007/s11748-010-0675-y
PMID: 21547637
Source
Medline
License
Unknown

Abstract

Some variations in pulmonary vein anatomy can have serious consequences in patients undergoing lung surgery, but clinicians rarely encounter patients with these variations. We report here a thoracoscopic lobectomy for right lung cancer in a patient with three right vein ostia. Preoperative review of three-dimensional 64-row multidetector computed tomography (3D-MDCT) of the patient showed a variation that was not confirmed in transverse plane computed tomography films. However, the variant anomaly was confirmed during thoracoscopic right lower lobectomy. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. Preoperative 3D-MDCT of the pulmonary vein produced a precise preoperative simulation for the surgeon and clearly showed the orientation of the patient's vascular variant during surgery. This imaging technology contributes to safer thoracic surgery, especially thoracoscopic surgery.

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