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Left upper lobectomy for cancer of the left lung with a rare mediastinal left basal pulmonary artery

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Abstract

We report a rare case wherein a mediastinal left basal pulmonary artery was detected during surgery. Intraoperative findings revealed mediastinal left lingular and basal segments of the pulmonary artery (A4+5 + A8−10) just dorsal to the superior pulmonary vein. The mediastinal left basal pulmonary artery is classified by its branching type, (1) complete type—wherein the entire that all basal pulmonary artery flow lies between the superior pulmonary vein and the left upper bronchus, as in like this case, (2) incomplete type—wherein that a part of the left basal pulmonary artery segment is on the flow mediastinal side. It is important to understand this rare aberration for undergoing safe surgery.

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References

  1. Yildirim A, Karabulut N, Dogan S, Herek D. Congenital thoracic arterial anomalies in adult: CT overview. Diagn Interv Radiol. 2011;17:352–62.

    PubMed  Google Scholar 

  2. Subotich D, Mandarich D, Milisavljevich M, Filipovich B, Nikolich V. Variations of pulmonary vessels: some practical implications for lung resections. Clin Anat. 2009;22:698–705.

    Article  Google Scholar 

  3. Yamashita H. Variations in the pulmonary segments and the bronchovascular trees. Roentogenologic Anatomy of the Lung 1978: 70–107.

  4. Kawai N, Kawaguchi T, Yasukawa M, Tojo T. Two cases of lower lobectomy with mediastinal inferior lobar branch in lung cancer. Jap J Chest Surg. 2015;29:786–91.

    Article  Google Scholar 

  5. Shibano T, Endo S, Tetsuka K, Kanai Y. Dangerous mediastinal basal pulmonary artery during left upper lobectomy. Interact Cardiovasc Thorac Surg. 2011;13:358–60.

    Article  Google Scholar 

  6. Nakano T, Ishikawa S, Sohara Y, Endo S. Composite resection of the left upper lobe and superior segment (S6) of the lower lobe for lung cancer with a mediastinal lingular and basal pulmonary artery. Surg Case Rep. 2018;4:39.

    Article  Google Scholar 

  7. He Z, Chen L, Zhu Q, Xu H. A video-assisted thoracic surgical lobectomy for a lung tumour with a rare anomalous pulmonary artery. Interact Cardiovasc Thorac Surg. 2012;15:786–7.

    Article  Google Scholar 

  8. Uchida S, Watanabe S, Yoshida Y, Kobayashi A, Asakura K, Nakagawa K. Aberrant mediastinal trunk of pulmonary artery. J Surg Case Rep. 2019;1:1–3.

    Google Scholar 

  9. Moriyama S, Miyoshi K, Tada A, Kurosaki T. A case report of abnormal branching of left A8+9 pulmonary artery. Jap J Chest Surg. 2009;23:58–61.

    Article  Google Scholar 

  10. Kato H, Oizumi H, Inoue T, Watarai H. A case report of lung cancer with abnormal branching of the left A8 pulmonary artery detected during left upper lobectomy. Japan Lung Cancer Soc. 2014;54:6–11.

    Article  Google Scholar 

  11. Kim YS, Kang MJ, Jeong MJ, Kim JH, Lee JH, Lee HB, et al. Unusual anatomical variant of the left posterior basal segmental pulmonary artery: CT findings. J Korean Soc Radiol. 2014;70:408–10.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Itai 1696, Kumagaya, 360-0197, Japan

    Nobumasa Takahashi, Shin Wakimoto, Hiroaki Morooka, Takayuki Ibi, Yuichi Saito, Tomohiko Ikeya & Eishin Hoshi

  2. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Yuichi Saito

  3. Department of Surgery, Saitama Cooperative Hospital, Kawaguchi, Japan

    Kouzo Asanuma

Authors
  1. Nobumasa Takahashi
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  2. Shin Wakimoto
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  3. Hiroaki Morooka
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  4. Takayuki Ibi
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  5. Yuichi Saito
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  6. Tomohiko Ikeya
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  7. Kouzo Asanuma
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  8. Eishin Hoshi
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Correspondence to Nobumasa Takahashi.

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Takahashi, N., Wakimoto, S., Morooka, H. et al. Left upper lobectomy for cancer of the left lung with a rare mediastinal left basal pulmonary artery. Gen Thorac Cardiovasc Surg 69, 748–751 (2021). https://doi.org/10.1007/s11748-020-01528-7

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  • DOI: https://doi.org/10.1007/s11748-020-01528-7

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