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Surgical and Radiologic Anatomy

, Volume 40, Issue 8, pp 955–958 | Cite as

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

  • Tao Wang
  • Min Meng
  • Min Huang
  • Xinya ZhaoEmail author
Anatomic Variations

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.

Keywords

Bronchi Right lung Computed tomography 

Notes

Acknowledgements

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

Author 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.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to declare.

References

  1. 1.
    Beder S, Küpeli E, Karnak D, Kayacan O (2008) Tracheobronchial variations in Turkish population. Clin Anat 21:531–538CrossRefPubMedGoogle Scholar
  2. 2.
    Ghaye B, Szapiro D, Fanchamps J, Dondelinger RF (2001) Congenital bronchial abnormalities revisited. Radiographics 21:105–119CrossRefPubMedGoogle Scholar
  3. 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 64:448–450CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Ming Z, Lin Z (2007) Evaluation of tracheal bronchus in Chinese children using multidetector CT. Pediatr Radiol 37:1230–1234CrossRefPubMedGoogle Scholar
  5. 5.
    Naidich DP, Zinn WL, Ettenger NA, McCauley DI, Garay SM (1988) Basilar segmental bronchi: thin-section CT evaluation. Radiology 169:11–16CrossRefPubMedGoogle Scholar
  6. 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 82:1347–1352CrossRefPubMedGoogle Scholar
  7. 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 34:9–25CrossRefPubMedGoogle Scholar
  8. 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 31:85–91CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Shandong Medical Imaging Research InstituteShandong UniversityJinanChina
  2. 2.Department of OncologyShandong Provincial Hospital affiliated to Shandong UniversityJinanChina
  3. 3.Department of LaboratoryShandong Provincial Hospital affiliated to Shandong UniversityJinanChina
  4. 4.Department of RadiologyShandong Provincial Hospital affiliated to Shandong UniversityJinanChina

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