Thoracoscopic lobectomy for an aberrant pulmonary artery of mediastinal inferior lobar branch: A case report

Author:

Watanabe Hajime1ORCID,Wada Atsushi1,Nakagawa Tomoki1,Masuda Ryota2,Yamada Shunsuke1ORCID,Iwazaki Masayuki2

Affiliation:

1. Department of Thoracic Surgery, Tokai University Hachioji Hospital, Hachioji, Japan

2. Department of Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara, Japan

Abstract

We report on a rare case of thoracoscopic surgery for a patient with an aberrant pulmonary artery of the inferior lobar branch (A7) in the right lower lobe. A 69-year-old woman presented with a chief complaint of an abnormal shadow on chest radiography. Computed tomography (CT) revealed a 14-mm solid nodule in the right lower lobe. The patient was diagnosed with lung cancer by bronchoscopic biopsy, and a surgery was planned. Preoperative thin-slice CT and three-dimensional CT showed an aberrant A7 branching from the right main pulmonary artery. The right lower lobe and lymph node dissection was performed safely under a video view. Preoperative evaluation of this anomaly is important for a safe surgery.

Publisher

SAGE Publications

Subject

General Medicine

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