Rare location and drainage pattern of right pulmonary veins and aberrant right upper lobe bronchial branch: A case report  

作　　者：Fu-Qiang Wang Rui Zhang Han-Lu Zhang Yun-Hai Mo Yu Zheng Guang-Hao Qiu Yun Wang 

机构地区：[1]Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China [2]Department of Thoracic Surgery,Chengdu Seventh People’s Hospital,Chengdu 610213,Sichuan Province,China [3]Department of Radiology,Chengdu Seventh People’s Hospital,Chengdu 610213,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2021年第32期9954-9959,共6页世界临床病例杂志

基　　金：by the Key Research Project of Sichuan Province,No.2020YFS0249;the National Key Research Project of China,No.2017YFC0113502.

摘　　要：BACKGROUND Complex aberration in lung is rare,which may increase risk of vascular injury and cause ligation of wrong pulmonary vein or bronchus by mistake during lung surgery,and result in sever complication like pulmonary congestion or atelectasis.CASE SUMMARY A 44-year-old female was admitted for a ground glass nodule(24 mm in diameter)in her right upper lobe.Video-assisted thoracoscopic(VATS)right upper lobectomy with lymph nodes dissection was performed.During operation,we simultaneously identified extremely rare aberrations of right preeparterial bronchus,right upper lobe vein behind pulmonary artery and right middle lobe vein drained into left atrium in this patient.The patient was well recovered and discharged at the postoperative-day 4.CONCLUSION Preoperatively,three-dimensional reconstruction can help to identify inconspicuous variation of pulmonary vessels and bronchus effectively.During lung surgery,if anatomic aberration is suspected,careful dissection of vessels and bronchus will help to confirm whether there is an aberration or not.

关 键 词：Thoracic surgery Video-assisted surgery Anatomic variation Threedimensional reconstruction Case report 

分 类 号：R655.3[医药卫生—外科学]