Right upper lobectomy in lung cancer with double aortic arch: A case report
Autor: | Masanori Okada, Riki Okita, Hidetoshi Inokawa, Nobutaka Kawamoto, Kazunori Okabe, Masataro Hayashi, Masashi Furukawa |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Pulmonary and Respiratory Medicine Aortic arch Double aortic arch recurrent laryngeal nerve mediastinal lymph node dissection Case Report Case Reports lcsh:RC254-282 03 medical and health sciences 0302 clinical medicine Superior vena cava medicine.artery medicine Recurrent laryngeal nerve Aorta business.industry Vascular ring Mediastinum General Medicine Anatomy lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease lung cancer 030104 developmental biology medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis cardiovascular system Azygos vein business |
Zdroj: | Thoracic Cancer Thoracic Cancer, Vol 11, Iss 8, Pp 2365-2369 (2020) |
ISSN: | 1759-7714 1759-7706 |
Popis: | Double aortic arch (DAA) is a rare congenital anomaly of the heart and aorta in which a vascular ring that surrounds the trachea and esophagus is formed. In most patients, respiratory distress and dysphagia develop in childhood, and asymptomatic adult patients are rarely known. Herein, we describe a patient with lung cancer and DAA. A 66‐year‐old man who had DAA underwent video‐assisted thoracoscopic right upper lobectomy and mediastinal lymph node dissection for primary lung cancer. Lymph node dissection of the right upper mediastinum revealed that the right recurrent laryngeal nerve branched from the right vagus nerve just beneath the right aortic arch. Additionally, the right aortic arch narrowed the space surrounding the trachea, superior vena cava, and arch of the azygos vein, impeding the stapling of the truncus anterior artery and right upper lobe pulmonary vein with the video‐assisted thoracoscopic approach. Key points Significant findings of the study In double aortic arch, the recurrent laryngeal nerve branches from the vagus nerve just beneath the ipsilateral aortic arch.The right aortic arch narrows the space surrounding the trachea, superior vena cava, and arch of the azygos vein. What this study adds The anatomy of a double aortic arch impedes mediastinal lymph node dissection on the ventral side of the trachea. Handling autosuture devices for stapling pulmonary arteries and veins is also difficult. Double aortic arch (DAA) is a rare congenital anomaly of the heart and aorta in which a vascular ring that surrounds the trachea and esophagus is formed. A 66‐year‐old man who had DAA underwent video‐assisted thoracoscopic right upper lobectomy and mediastinal lymph node dissection for primary lung cancer. Lymph node dissection of the right upper mediastinum revealed that the right recurrent laryngeal nerve branched from the right vagus nerve just beneath the right aortic arch. |
Databáze: | OpenAIRE |
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