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- W2588344512 abstract "The Supplemental Figures can be viewed in the online version of this article [http://dx.doi.org/10.1016/j.athoracsur.2016.09.084] on http://www.annalsthoracicsurgery.org.A 66-year-old woman was admitted to our hospital with bloody sputum. Computed tomography (CT) showed a 6.8-cm mass shadow in the right upper lobe, and examination of a transbronchial lung biopsy specimen revealed it to be a lung adenocarcinoma. Three-dimensional CT (3DCT) revealed a tracheal bronchus (Fig 1, arrow). Sagittal images (Supplemental Fig 1) and 3DCT (Fig 2) showed that part of the upper pulmonary vein (PV) was traveling behind the right main pulmonary artery (PA). The patient underwent right upper lobectomy. B1 and B2+3 could be cut with a stapling device (Supplemental Fig 2). Asc.A2 and A3 were traveling in the normal orientation, but A1 directly arose from the main PA (Supplemental Fig 3). V2t and V2c were also traveling normally in the front of the main PA, but unusually, the other upper lobe branch of the PV(V1-3) was traveling behind the main PA (Supplemental Fig 4, Supplemental Fig 5). In conclusion, careful observation of PV traveling should be made during operation on a lung cancer with a tracheal bronchus because the PV may show unusual anatomic travel, as has been described in some literature reports [1Kawasaki H. Oshiro Y. Taira N. et al.Partial anomalous pulmonary venous connection coexisting with lung cancer: a case report and review of relevant cases from the literature.Ann Thorac Cardiovasc Surg. 2016 Jun 16; ([Epub ahead of print])Google Scholar, 2Xin-Feng X. Liang C. Wei-Bing W. et al.Thoracoscopic right posterior segmentectomy of a patient with anomalous bronchus and pulmonary vein.Ann Thorac Surg. 2014; 98: e127-e129Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar].Fig 2View Large Image Figure ViewerDownload Hi-res image Download (PPT) The Supplemental Figures can be viewed in the online version of this article [http://dx.doi.org/10.1016/j.athoracsur.2016.09.084] on http://www.annalsthoracicsurgery.org. Supplemental Figure 2View Large Image Figure ViewerDownload Hi-res image Download (PPT)Supplemental Figure 3View Large Image Figure ViewerDownload Hi-res image Download (PPT)Supplemental Figure 4View Large Image Figure ViewerDownload Hi-res image Download (PPT)Supplemental Figure 5View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W2588344512 date "2017-03-01" @default.
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- W2588344512 title "Tracheal Bronchus: Beware of Anomalous Venous Drainage!" @default.
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- W2588344512 doi "https://doi.org/10.1016/j.athoracsur.2016.09.084" @default.
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