Division of Thoracic Surgery, Saitama Cancer Center, 780 Komuro, Ina-machi, Kita Adachi-gun, Saitama, 362-0806, Japan.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1558-1561. doi: 10.1007/s11748-020-01344-z. Epub 2020 Apr 9.
The lingular pulmonary artery is known for being frequently subjected to bifurcation anomalies, thus asserting the importance of performing three-dimensional computed tomography angiography before lung surgery for safety reasons. We report a case of branching anomaly of the left ventrobasal and laterobasal arteries, which instead of branching from the interlobar artery, branched as a common trunk from the mediastinal lingular artery. A 68-year-old man with diagnosis of rectal cancer lung metastasis in the ventral segment of left upper lobe (S3) presented branching anomaly of the pulmonary artery, which was detected by a preoperative three-dimensional computed tomography angiography. Although there was a conversion from segmentectomy to left upper lobectomy to secure the margin with the tumor, the operation was safely performed and completed by video-assisted thoracic surgery, since the vascular branching anomalies were characterized preoperatively.
肺段动脉的分支通常存在畸形,因此,为了安全起见,在进行肺手术前应进行三维 CT 血管造影。我们报告一例左前基底动脉和后基底动脉的分支异常,它们不是从叶间动脉分支,而是作为一个共同的主干从纵隔舌段动脉分支。一名 68 岁男性,诊断为直肠癌肺转移,位于左上叶(S3)腹段,术前三维 CT 血管造影发现存在肺动脉分支异常。虽然为了确保肿瘤边缘安全,将手术方式从肺段切除术转为左上肺叶切除术,但由于术前对血管分支异常进行了描述,因此仍通过电视辅助胸腔镜手术安全地完成了手术。