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Anatomical resection for right B3 downwards-shifting malformation

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Abstract

The right B3 downwards-shifting malformation is rare. This malformation often leads to the following complications: abnormal pulmonary arteries that accompany the downward-displaced B3, and complete fusion of the upper and middle lobes into one lobe, with no horizonal fissure. When performing pulmonary anatomical resection in the right upper or middle lobes in patients with this malformation, careful preoperative planning and surgical technique are required, with which the surgeon should be familiar. Herein, we present the anatomical features necessary for anatomical resection of the right B3 downwards-shifting malformation based on our technical experiences with anatomic segmentectomy and lobectomy techniques.

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References

  1. Boyden EA, Hamre CJ. An analysis of variations in the bronchovascular patterns of the middle lobe in fifty dissected and twenty injected lungs. J Thorac Surg. 1951;21:172–80.

    Article  CAS  Google Scholar 

  2. Zhang M, Mao N, Wu Q, Tie H, Ge M. Boyden’s triad: the past, present and future. Interact Cardiovasc Thorac Surg. 2021;34:590–6.

    Article  CAS  Google Scholar 

  3. Shimizu K, Nagashima T, Ohtaki Y, Obayashi K, Nakazawa S, Kamiyoshihara M, et al. Analysis of the variation pattern in right upper pulmonary veins and establishment of simplified vein models for anatomical segmentectomy. Gen Thorac Cardiovasc Surg. 2016;64:604–11.

    Article  Google Scholar 

  4. Nakazawa S, Shimizu K, Kawatani N, Obayashi K, Ohtaki Y, Nagashima T, et al. Right upper lobe segmentectomy guided by simplified anatomic models. JTCVS Tech. 2020;4:288–97.

    Article  Google Scholar 

  5. Eguchi T, Sato T, Shimizu K. Technical advances in segmentectomy for lung cancer: a minimally invasive strategy for deep, small, and impalpable tumors. Cancers (Basel). 2021;13:3137.

    Article  Google Scholar 

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Correspondence to Kimihiro Shimizu.

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Miura, K., Shimizu, K., Mishima, S. et al. Anatomical resection for right B3 downwards-shifting malformation. Gen Thorac Cardiovasc Surg 71, 71–75 (2023). https://doi.org/10.1007/s11748-022-01884-6

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  • DOI: https://doi.org/10.1007/s11748-022-01884-6

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