Department of Thoracic Surgery, Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Department of Thoracic Surgery, Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Ann Thorac Surg. 2020 May;109(5):e353-e355. doi: 10.1016/j.athoracsur.2019.07.081. Epub 2019 Sep 12.
Ectopia of the right upper pulmonary vein (RUV) is rare and sometimes combined with tracheal bronchus. Such anomalies can affect surgical procedures. We report the case of a 66-year-old woman with lung cancer in which preoperative three-dimensional computed tomography reconstruction and intraoperative images displayed a combined ectopic variation of the RUV and bronchus. The RUV was absent from the anterior hilum, but instead was present in the superior and posterior hilum dispersedly. In addition, the right upper lobe bronchus was ectopic to the lower edge of the "bronchus intermedius." Based on this discovery, video-assisted thoracoscopic lobectomy was successfully performed.
右上肺静脉（RUV）异位是一种罕见的疾病，有时会合并气管支气管。这种异常可能会影响手术过程。我们报告了一例 66 岁女性肺癌病例，术前三维计算机断层扫描重建和术中图像显示 RUV 和支气管的联合异位变异。RUV 从前纵隔缺失，但在后上纵隔散在存在。此外，右上叶支气管异位到“中间支气管”下缘。基于这一发现，成功地进行了电视辅助胸腔镜肺叶切除术。
