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Branching anomaly of the pulmonary ventrobasal and laterobasal arteries from the mediastinal lingular pulmonary artery

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Abstract

The lingular pulmonary artery is known for being frequently subjected to bifurcation anomalies, thus asserting the importance of performing three-dimensional computed tomography angiography before lung surgery for safety reasons. We report a case of branching anomaly of the left ventrobasal and laterobasal arteries, which instead of branching from the interlobar artery, branched as a common trunk from the mediastinal lingular artery. A 68-year-old man with diagnosis of rectal cancer lung metastasis in the ventral segment of left upper lobe (S3) presented branching anomaly of the pulmonary artery, which was detected by a preoperative three-dimensional computed tomography angiography. Although there was a conversion from segmentectomy to left upper lobectomy to secure the margin with the tumor, the operation was safely performed and completed by video-assisted thoracic surgery, since the vascular branching anomalies were characterized preoperatively.

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Acknowledgements

We would like to thank Editage (https://www.editage.jp) for the English language editing.

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Authors and Affiliations

  1. Division of Thoracic Surgery, Saitama Cancer Center, 780 Komuro, Ina-machi, Kita Adachi-gun, Saitama, 362-0806, Japan

    Yoshihito Iijima, Hiroyasu Kinoshita, Yuki Nakajima, Yasuyuki Kurihara, Hirohiko Akiyama & Tomomi Hirata

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  1. Yoshihito Iijima
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  2. Hiroyasu Kinoshita
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  3. Yuki Nakajima
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  4. Yasuyuki Kurihara
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  5. Hirohiko Akiyama
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  6. Tomomi Hirata
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Correspondence to Yoshihito Iijima.

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Iijima, Y., Kinoshita, H., Nakajima, Y. et al. Branching anomaly of the pulmonary ventrobasal and laterobasal arteries from the mediastinal lingular pulmonary artery. Gen Thorac Cardiovasc Surg 68, 1558–1561 (2020). https://doi.org/10.1007/s11748-020-01344-z

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  • DOI: https://doi.org/10.1007/s11748-020-01344-z

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