Abstract
We report a rare case of left lung cancer in a patient with a right aortic arch. A 65-year-old woman was diagnosed to have an adenocarcinoma in the left upper lobe (S3) in addition to a right aortic arch (type II), with the left subclavian artery originating from the descending aorta. Left upper lobectomy and lymph node dissection was performed by video-assisted thoracic surgery (VATS). For the mediastinal dissection, the upper mediastinal lymph nodes were easily resected after verifying the location of the arterial ligament and the recurrent laryngeal nerve (RLN). This is the first report of using VATS to remove a lung cancer from a patient with a right aortic arch.
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Kaneko Y, Nakajima J, Ohtsuka T, Kohno T, Furuse A. Bronchogenic carcinoma associated with right aortic arch and postaortic left brachiocephalic vein: report of a case. Jpn J Thorac Cardiovasc Surg 1995;43:1155–1159.
Miyauchi K, Nakano N, Horiuchi J, Tsunooka Y, Hamada Y, Kawachi K. Lung cancer associated with the right aortic arch: report of a case. Jpn J Thorac Surg 2003;56:810–813.
Suzuki S, Miyamoto A, Aikawa H, Tabata T, Matsumura Y, Kondo T. Right lung cancer with right aortic arch. J Thorac Cardiovasc Surg 2003;51:469–471.
Shida D, Asato Y, Amemiya R, Suzuki A, Yoshimi F. Right aortic arch with left lung cancer: focusing on left RLN. Ann Thorac Surg 2002;73:985–986.
Nakamura Y, Okumura S, Inagaki T, Matsui Y, Inagaki T, Satoh Y, et al. Surgical resection of left lung cancer with attention to the path of blood vessels after induction chemotherapy: report of a case and review of the literature. Jpn J Chest Surg 2006;20:980–986.
Stewart JR, Kincaid OW, Titus JL. Right aortic arch: plain film diagnosis and significance. AJR Am J Roentogenol 1996;97:377–389.
Watanabe A, Koyanagi T, Obama T, Ohsawa H, Mawatari T, Takahashi N, et al. Assessment of node dissection for clinical stage I primary lung cancer via VATS. Eur J Cardiothorac Surg 2005;27:745–752.
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Nakamura, H., Miwa, K., Adachi, Y. et al. Video-assisted thoracic surgery for left lung cancer in a patient with a right aortic arch. Gen Thorac Cardiovasc Surg 56, 239–241 (2008). https://doi.org/10.1007/s11748-008-0229-8
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DOI: https://doi.org/10.1007/s11748-008-0229-8