Partial Anomalous Pulmonary Venous Connection Coexisting with Lung Cancer: A Case Report and Review of Relevant Cases from the Literature
| Autor: | Takaharu Ichi, Yasuji Oshiro, Tomonori Furugen, Hidenori Kawasaki, Naohiro Taira, Tomofumi Yohena, Tsutomu Kawabata |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart Defects Congenital Male medicine.medical_specialty Lung Neoplasms Computed Tomography Angiography Case Report Adenocarcinoma of Lung Dissection (medical) 030204 cardiovascular system & hematology Adenocarcinoma 03 medical and health sciences 0302 clinical medicine Imaging Three-Dimensional Superior vena cava Predictive Value of Tests medicine Humans Vein Lung cancer Pneumonectomy Computed tomography angiography Neoplasm Staging Bronchus Incidental Findings medicine.diagnostic_test business.industry Thoracic Surgery Video-Assisted Gastroenterology General Medicine Phlebography respiratory system Middle Aged medicine.disease Surgery respiratory tract diseases medicine.anatomical_structure Treatment Outcome Pulmonary Veins 030220 oncology & carcinogenesis Mediastinal lymph node Lymph Node Excision Radiographic Image Interpretation Computer-Assisted Radiology Azygos vein Cardiology and Cardiovascular Medicine business |
| Popis: | A 45-year-old man had an abnormal shadow in the right lung field on an annual screening chest X-ray. He was diagnosed with Stage IA (cT1bN0M0) lung cancer. Initially, we did not notice an anomalous vein on non-contrast computed tomography. However, we found that the right upper lobe bronchus branched from the lateral wall of the right main bronchial orifice, above the level of the common right upper lobe bronchus. Therefore, the bronchus was thought to be a tracheal bronchus. We carefully reevaluated the patient using three-dimensional computed tomography angiography. This technique showed that the anomalous right superior pulmonary vein drained into the azygos vein along the superior vena cava. These findings confirmed a partial anomalous pulmonary venous connection of the right upper lobe. We performed video-assisted thoracoscopic right upper lobectomy and mediastinal lymph node dissection for definitive treatment for lung cancer and partial anomalous pulmonary venous connection. No hemodynamic problems occurred in the postoperative course. |
| Databáze: | OpenAIRE |
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