https://doi.org/10.4081/monaldi.2022.2196
Anomalous segmental pulmonary vein: additional V6 behind the bronchus intermedius draining into the superior pulmonary vein
Submitted: January 9, 2022
Accepted: March 24, 2022
Published: March 29, 2022
Accepted: March 24, 2022
Abstract Views: 915
PDF: 318
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Anatomical variations of pulmonary venous drainage have been widely described in the literature in order to perform safe thoracic surgical procedures. We report a case of anomalous vein from the superior segment of the right lower lobe running in the posterior mediastinum and draining into the superior pulmonary vein. As the patient showed a usual right inferior pulmonary vein, formed by the union of the superior segment right lower lobe vein (V6) and the common basal vein joining the left atrium, the uncommon segmental pulmonary vein described was named: additional V6. It was identified preoperatively and recognized intraoperatively during thoracoscopic right lower lobectomy and lymph node dissection performed for lung cancer treatment. Diagnostic imaging and careful surgical dissection are helpful tools to avoid intraoperative bleeding and other complications during thoracic surgical procedures due to unrecognized vascular anomalies.
Maciejewski R. The venous drainage of the apical segment of the right lower pulmonary lobe. Acta Anat 1994;150:217-21.
DOI: https://doi.org/10.1159/000147621
Jardin M, Remy J. Segmental bronchovascular anatomy of the lower lobes: CT analysis. AJR Am J Roentgenol 1986;147:457-68.
DOI: https://doi.org/10.2214/ajr.147.3.457
Kim JS, Choi D, Lee KS. CT of the bronchus intermedius: frequency and cause of a nodule in the posterior wall on normal scans. AJR Am J Roentgenol 1995;165:1349-52.
DOI: https://doi.org/10.2214/ajr.165.6.7484561
Aragaki M, Iimura Y, Yoshida Y, Hasegawa N. Anomalous V2 of the left pulmonary vein detected using three-dimensional computed tomography in a patient with lung cancer: A case report. Int J Surg Case Rep 2017;37:208-210.
DOI: https://doi.org/10.1016/j.ijscr.2017.06.046
Shiina N, Kaga K, Hida Y, et al. Variations of pulmonary vein drainage critical for lung resection assessed by three-dimensional computed tomography angiography. Thorac Cancer 2018;9:584-8.
DOI: https://doi.org/10.1111/1759-7714.12621
Igai H, Kamiyoshihara M, Yoshikawa R, et al. Algorithm-based troubleshooting to manage bleeding during thoracoscopic anatomic pulmonary resection. J Thorac Dis 2019;11:4544-50.
DOI: https://doi.org/10.21037/jtd.2019.10.72
Liu L, Mei J, He J, et al. International expert consensus on the management of bleeding during VATS lung surgery. Ann Transl Med 2019;7:712.
DOI: https://doi.org/10.21037/atm.2019.11.142
Onodera Y, Taniyama Y, Sakurai T, et al. Thoracoscopic esophagectomy with subcarinal lymph node dissection in the prone position for esophageal cancer with a right superior pulmonary vein anomaly: a case report. Surg Case Rep 2019;5:6.
DOI: https://doi.org/10.1186/s40792-019-0567-z
Endo S, Tsubochi H, Nakano T, Sohara Y. A dangerous venous variation in thoracoscopic right lower lobectomy. Ann ThoracSurg 2009;87:e9-e10.
DOI: https://doi.org/10.1016/j.athoracsur.2008.08.051
Yamada S, Suga A, Inoue Y, Iwazaki M. Importance of preoperative assessment of pulmonary venous anomaly for safe video-assisted lobectomy. Interact Cardiovasc Thorac Surg 2010;10:851-4.
DOI: https://doi.org/10.1510/icvts.2009.221804
Nagashima T, Shimizu K, Ohtaki Y, et al. Analysis of variation in bronchovascular pattern of the right middle and lower lobes of the lung using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg 2017;65:343-349.
DOI: https://doi.org/10.1007/s11748-017-0754-4
Amore D, Molino A, Caterino U, et al. Accessory right V6 behind the bronchus intermedius during VATS right upper lobectomy. Int J Surg Case Rep 2019;56:17-9.
DOI: https://doi.org/10.1016/j.ijscr.2019.02.014
How to Cite
Amore, Dario, Emanuele Muto, Umberto Caterino, Dino Casazza, Alessandro Saglia, Pasquale Imitazione, and Carlo Curcio. 2022. “Anomalous Segmental Pulmonary Vein: Additional V6 Behind the Bronchus Intermedius Draining into the Superior Pulmonary Vein”. Monaldi Archives for Chest Disease 92 (4). https://doi.org/10.4081/monaldi.2022.2196.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- E. Crisafulli, S. Loschi, C. Beneventi, A. De Biase, B. Tazzioli, A. Papetti, C. Lorenzi, E.M. Clini, Learning impact of education during Pulmonary Rehabilitation program. An observational short-term cohort study , Monaldi Archives for Chest Disease: Vol. 73 No. 2 (2010): Pulmonary series
- Pratap Upadhya, Shivam Garg, Jeevanandham A., Nesamani Daniel Ponraj, Ahmed Wayez, An unexpected and unusual cause of pulmonary hypertension in a patient with hypersensitivity pneumonitis: a partial anomalous pulmonary venous connection causing pulmonary artery hypertension , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Sumita Agrawal, Akhil Dhanesh Goel, Nitesh Gupta, Ayush Lohiya, Role of low dose computed tomography on lung cancer detection and mortality - an updated systematic review and meta-analysis , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Cuneyt Tetikkurt, Deniz Ongel, Seza Tetikkurt, A case of bleomycin-induced lung toxicity , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Claudio F. Donner, Sandro Amaducci, Elena Bacci, Sandra Baldacci, Maria L. Bartoli, Gianfranco M. Beghi, Alida Benfante, Sara Brighindi, Lucio Casali, Daniela Castiglia, Mario Cazzola, Alessandro Celi, Silvana Cianchetti, Giorgio Colombo, Claudia Crimi, Federico L. Dente, Giuseppe Di Maria, Annalisa Di Maria, Manuela Latorre, Federico Lavorini, Sara Maio, Claudia Mannini, Riccardo Messina, Pier Luigi Paggiaro, Patrizia Pignatti, David Price, Nicola Scichilone, Marzia Simoni, Antonio Spanevello, Martina Stagno d’Alcontres, Shawna Tan, Roberto Torchio, Giovanni Viegi, Dina Visca, Emiel F.M. Wouters, Shaylynn Yu Hui Xin, Inhalation therapy in the next decade: Determinants of adherence to treatment in asthma and COPD , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- A. Celi, L. Marconi, L. Villari, A. Palla, The diagnosis of pulmonary embolism , Monaldi Archives for Chest Disease: Vol. 71 No. 2 (2009): Pulmonary series
- Dario Amore, Umberto Caterino, Dino Casazza, Riccardo Ievoli, Pasquale Imitazione, Alessandro Saglia, Alessandro Izzo, Marco Rispoli, Carlo Curcio, Persistent alveolar air leak following pulmonary lobectomy: an old problem in a modern era , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Andrea Imperatori, Maria Cattoni, Luca Bertolaccini, Mario Nosotti, Lorenzo Rosso, Lucio Cagini, Jacopo Vannucci, Alessandro Brunelli, Roberto Crisci, Carlo Curcio, Nicola Rotolo, Assessment of the 90-day mortality risk score after video-assisted thoracoscopic lobectomy in the Italian VATS Group cohort , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- S. Katsenos, M. Nikolopoulou, Intramedullary thoracic spinal metastasis from small-cell lung cancer , Monaldi Archives for Chest Disease: Vol. 79 No. 3-4 (2013): Pulmonary series
- Susanna Ricotti, Valentina Martinelli, Patrick Caspani, Serena Monteleone, Lucia Petrucci, Elena Dalla Toffola, Catherine Klersy, Changes in quality of life and functional capacity after lung transplantation: A single-center experience , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
