Inadvertently transected left superior pulmonary vein during thoracoscopic left lower lobectomy
Journal of Cardiothoracic Surgery, May 2016
Yangki Seok, Eungbae Lee
There are several anatomical variations of the pulmonary vein which can cause serious complications in pulmonary lobectomy. We inadvertently divided the left superior pulmonary vein during thoracoscopic left lower lobectomy in a lung cancer patient. Retrospective review of the preoperative computed tomography showed extra-pericardial common trunk of the left pulmonary venous system. Left superior pulmonary vein was reimplanted into stump of divided common trunk via thoracotomy. Awareness of vascular anomalies will help thoracic surgeons to prevent potential morbidity and mortality from complications.
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