Postoperative cavitating infarction following lobectomy: the importance of variant pulmonary anatomy
| Autor: | Jonathan C L Rodrigues, Tim Batchelor, William John Hunter Brown, Vidan Masani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Infarction Lung abscess Case Report 030204 cardiovascular system & hematology Pulmonary Artery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Positron Emission Tomography Computed Tomography medicine Humans Lung cancer Segmental pulmonary artery Aged business.industry Thoracic Surgery Video-Assisted Pulmonary Infarction General Medicine medicine.disease Lobe Surgery medicine.anatomical_structure Treatment Outcome Cardiothoracic surgery 030220 oncology & carcinogenesis Female Radiography Thoracic Pulmonary vasculature business Tomography X-Ray Computed Preoperative imaging |
| Zdroj: | BMJ Case Rep |
| Popis: | A 75-year-old woman was admitted to hospital with haemoptysis, fever and shortness of breath. She had undergone a right video-assisted thoracoscopic surgery upper lobectomy for an apical lung cancer 4 weeks earlier, and had been treated with antibiotics for 1 week prior to admission for a suspected postoperative lung abscess. Review of preoperative imaging found that she possessed a lobar pulmonary artery variant, with postoperative imaging confirming that the right lower lobe segmental pulmonary artery had been divided alongside the upper lobe vessels. The diagnosis of a lung abscess was thus revised to a cavitating pulmonary infarct. There are numerous variations of the pulmonary vasculature, all of which have the potential to cause a range of serious vascular complications if not appreciated preoperatively. Measures to mitigate the risk of complications resulting from vascular anomalies should be considered by both radiologists and surgeons, with effective lines of communication essential to safe working. |
| Databáze: | OpenAIRE |
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