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Variations of right bronchial tree: a study with multi-detector CT

  • Anatomic Variations
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Abstract

Purpose

The aim was to display variations of right bronchial tree.

Methods

The bronchial tree images of 238 patients were reconstructed using the postprocessing technique of CT.

Results

We revealed four cases rare bronchial branching patterns of right superior lobe. 1 case was referred to as tracheal bronchus. In 1 case, B1 was located in the place of the right superior lobar bronchus and B2 + 3 arose from the right merge of the IB. In 1 case, the right superior lobar bronchus has only two divisions for B1 and B3, and the bronchus B2 arose from the right merge of the IB. In 1 case, B1 branched into four bronchi. We revealed 15 cases of rare bronchial branching patterns of right inferior lobe. In nine cases, the basal trunk bronchus bifurcated into B7 + 8 and B9 + l0. In three cases, B8 branched from the basal trunk bronchus before B7. In two cases, basal trunk bronchus bifurcated into B7 + 8 + 9 and B10. In 1 case, the basal trunk bronchus bifurcated into the common stem of B7 + 10 and B8 + 9.

Conclusions

Variations of right bronchial tree were displayed in the present study. This information may have important implications for diagnosis of symptomatic patients and performing certain procedures, including bronchoscopy, endotracheal intubation, and lung resection.

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References

  1. Beder S, Küpeli E, Karnak D, Kayacan O (2008) Tracheobronchial variations in Turkish population. Clin Anat 21:531–538

    Article  PubMed  Google Scholar 

  2. Ghaye B, Szapiro D, Fanchamps J, Dondelinger RF (2001) Congenital bronchial abnormalities revisited. Radiographics 21:105–119

    Article  PubMed  CAS  Google Scholar 

  3. Lee DK, Kim YM, Kim HZ, Lim SH (2013) Right upper lobe trachealbronchus: anesthetic challenge in one-lung ventilated patients—a report of three cases. Korean J Anesthesiol 64:448–450

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ming Z, Lin Z (2007) Evaluation of tracheal bronchus in Chinese children using multidetector CT. Pediatr Radiol 37:1230–1234

    Article  PubMed  Google Scholar 

  5. Naidich DP, Zinn WL, Ettenger NA, McCauley DI, Garay SM (1988) Basilar segmental bronchi: thin-section CT evaluation. Radiology 169:11–16

    Article  PubMed  CAS  Google Scholar 

  6. Oshiro Y, Murayama S, Ohta M, Teruya T (2013) CT fndings of a displaced left upper division bronchus in adults: its importance for performing safe left pulmonary surgery. Eur J Radiol 82:1347–1352

    Article  PubMed  Google Scholar 

  7. Salvolini L, Bichi Secchi E, Costarelli L, De Nicola M (2000) Clinical applications of 2D and 3D CT imaging of the airways: a review. Eur J Radiol 34:9–25

    Article  PubMed  CAS  Google Scholar 

  8. Zhao X, Ju Y, Liu C, Li J, Huang M, Sun J, Wang T (2009) Bronchial anatomy of left lung: a study of multi-detector row CT. Surg Radiol Anat 31:85–91

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by Shandong Province Science and Technology Development Projects (No. 2012GCG21812).

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Author notes

  1. Tao Wang, Min Meng, and Min Huang have equally contributed.

Authors and Affiliations

  1. Shandong Medical Imaging Research Institute, Shandong University, 324#, Jingwu Road, Jinan, Shandong, 250021, China

    Tao Wang

  2. Department of Oncology, Shandong Provincial Hospital affiliated to Shandong University, 324#, Jingwu Road, Jinan, Shandong, 250021, China

    Min Meng

  3. Department of Laboratory, Shandong Provincial Hospital affiliated to Shandong University, 324#, Jingwu Road, Jinan, Shandong, 250021, China

    Min Huang

  4. Department of Radiology, Shandong Provincial Hospital affiliated to Shandong University, 324#, Jingwu Road, Jinan, Shandong, 250021, China

    Xinya Zhao

Authors
  1. Tao Wang
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  2. Min Meng
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  3. Min Huang
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  4. Xinya Zhao
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Contributions

Tao Wang, Min Meng, Min Huang, and Xinya Zhao have made substantial contributions to the conception and design of the study, acquisition of data, or analysis and interpretation of data. All the authors have been involved in drafting the article or revising it critically for important intellectual content. All the authors have approved the final version to be published.

Corresponding author

Correspondence to Xinya Zhao.

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The authors have no conflicts of interest to declare.

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Cite this article

Wang, T., Meng, M., Huang, M. et al. Variations of right bronchial tree: a study with multi-detector CT. Surg Radiol Anat 40, 955–958 (2018). https://doi.org/10.1007/s00276-018-2033-1

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  • DOI: https://doi.org/10.1007/s00276-018-2033-1

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