Highlights Surgical management of left superior pulmonary venous return directly to the left innominate/brachiocephalic vein in patient with pulmonary adenocarcinoma. Left upper lobectomy in patient with adenocarcinoma of the lung in the presence of partial anomalous pulmonary venous return. Case report describing operative management of adenocarcinoma of the lung in a patient afflicted with partial anomalous pulmonary venous return of left superior pulmonary vein into the left brachiocephalic vein.

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