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Author Onuki, Takamasa ♦ Kanzaki, Masato ♦ Maeda, Hideyuki ♦ Sakamoto, Kei ♦ Isaka, Tamami ♦ Oyama, Kunihiro ♦ Murasugi, Masahide
Source J-STAGE
Content type Text
Publisher The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
Language English
Subject Keyword venous branching pattern ♦ left upper division resection ♦ lingular hemorrhagic infarction ♦ lung cancer ♦ thoracoscopic surgery
Abstract Background: Because left upper division resection is similar to right upper lobectomy, this procedure is frequently employed. Few studies have used the anatomic courses of veins evaluated on preoperative computed tomography (CT) imaging to determine what types of patients are at the highest risk for hemorrhagic pulmonary infarction.Case: We describe our experience with a patient in whom hemorrhagic pulmonary infarction occurred at 6 days after transecting two superior branches $(V^{1}$ and $V^{3})$ of the three branches of the left superior pulmonary vein. We preoperatively confirmed that small-caliber lingular veins were perfused by $V^{3}.$ However, the patient had a poor pulmonary function, and the tumor was located distal to $V^{3}.$ Left upper division resection was therefore performed.Conclusion: The division of $V^{3}$ could be the cause of hemorrhagic infarction in the lingular segment after upper division segmentectomy.
ISSN 13411098
Learning Resource Type Report
Publisher Date 2019-01-01
e-ISSN 21861005
Journal Annals of Thoracic and Cardiovascular Surgery(atcs)
Volume Number 25
Issue Number 1
Page Count 4
Starting Page 56
Ending Page 59


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