Three-dimensional computed tomography angiography of the pulmonary veins and their anatomical variations: involvement in video-assisted thoracoscopic surgery-lobectomy for lung cancer

Fourdrain, Alex; Dominicis, Florence De; Bensussan, Marie; Iquille, Jules; Lafitte, Sophie; Michel, D; Berna, Pascal

doi:10.5603/fm.a2016.0081

Cited by 16 publications

(15 citation statements)

References 12 publications

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“…We reviewed 192 cases and investigated segmental and middle lobe pulmonary veins. The number of variants described here is comparable to previous reports . However, we detail the drainage points, such as the SPV, IPV, RML pulmonary vein, V 6 , and LA, more clearly than in previous studies.…”

Section: Discussionsupporting

confidence: 79%

“…Table combines our results with data from two articles that reported bilateral pulmonary drainage patterns during pulmonary resection, and in a textbook by Yamashita. Yamashita's publication is one of the most read and cited textbooks describing the anatomy of pulmonary segments…”

Section: Resultsmentioning

confidence: 62%

“…Drainage into the SPV was observed in 1.6% of cases. This rare anomaly was not reported in the three articles we used to compare our results …”

Section: Discussionmentioning

confidence: 94%

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Variations of pulmonary vein drainage critical for lung resection assessed by three‐dimensional computed tomography angiography

et al. 2018

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BackgroundIt is important to understand pulmonary vein drainage pattern variations and their frequency in order to perform safe anatomical pulmonary resection.MethodsVariations and frequencies were assessed using three‐dimensional computed tomography angiography (3D‐CT) in 194 patients. In cases where the tumor or lymph node caused atelectasis or compression of hilar structures, the involved lobes were excluded from the analyses.ResultsWe confirmed variant drainage patterns in 15/189 (8.0%) patients in the right upper lobe (RUL), 29/189 (15.3%) in the right middle lobe (RML), 18/192 (9.5%) in the right lower lobe (RLL), and 5/187 (2.6%) in the left upper lobe (LUL). There was no variant type in the left lower lobe (LLL). There were 14 (7.4%) cases of anomalous superior posterior pulmonary vein of RUL (V2) drainage: V2 draining to the superior pulmonary vein (SPV) (n = 2, 1.1%), V2 to the inferior pulmonary vein (IPV) (n = 7, 3.7%), V2 to the left atrium (LA) (n = 2, 1.1%), and V6 to the apical pulmonary vein of the RLL (n = 3, 1.6%). There was a posterior pulmonary vein, V3 to RML pulmonary vein in one case (0.5%). The RML pulmonary vein drained into the IPV in 14 (7.4%) and into the LA in 15 (7.9%) cases. The right V6 directly drained into the LA in 15 (7.9%) and V6 into the SPV in 3 (1.6%) cases. The lingular pulmonary vein drained into the IPV in one case (0.5%) and into the LA in two cases (1.1%). The inferior lingular pulmonary vein V5 drained into the IPV and into the LA in one case (0.5%), respectively.ConclusionWe describe anomalous pulmonary venous drainage patterns and their frequencies particular to anatomic surgical resection. 3D‐CT is useful to find such variations.

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Section: Discussionsupporting

confidence: 79%

Section: Resultsmentioning

confidence: 62%

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Variations of pulmonary vein drainage critical for lung resection assessed by three‐dimensional computed tomography angiography

et al. 2018

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“…Fourdrain et al retrospectively reviewed the CT images and medical records of 100 patients. Anatomic variations of PVs were found in 36 patients (36%), and rightsided anatomical variations were more frequent than on the left sided (25% vs. 11%).The most common variations were three independent PVs on the right side (16%), while single PV (8%) on the left side, including surgical conversion (21%) [1]. Kawasaki [4].…”

Section: Discussionmentioning

confidence: 99%

Uniportal VATS right superior lobectomy: management of pulmonary vein variation: a case report

Wang

Sun

Zhang

et al. 2020

J Cardiothorac Surg

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Background: Although there are lots of variations of pulmonary veins including dangerous type that could cause serious complications during surgery, limited information has been reported about these variations. We have experienced an extremely rare anomaly of the right superior pulmonary vein during right superior lobectomy. We used a technique called "non fissure" to manage the right superior pulmonary vein, and the results were satisfactory. Case presentation: A 66-year-old woman with lung nodules visited our hospital. Chest computed tomography revealed multiple ground glass nodules in the right lung, the main pulmonary nodule was 11 mm in diameter and presented mixed density. The patient had a previous history of rectal cancer surgery. Contrast-enhanced threedimensional computed tomography showed that the right superior pulmonary vein abnormally ran between the pulmonary artery trunk and the right main bronchus. We performed a right superior lobectomy and lymph node sampling by uniportal video-assisted thoracoscopic surgery. The pathological findings showed microinvasive adenocarcinoma with no lymphatic metastasis. She was discharged 7 days after surgery without any surgical complications. Conclusions: Although the variation of pulmonary vein is uncommon, it is dangerous to misidentify in the operation. Preoperative three-dimensional computed tomography is useful for avoiding unexpected bleeding. The technique "no fissure" might be a useful way to manage the variation of pulmonary vein.

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“…One of these is the high-pitch and lowdose technique, which gives important information in a short time without utilising sedation. These features provide an important advantage, especially in very sick or uncooperative children [6,7,9,12,14].…”

Section: Introductionmentioning

confidence: 99%

Determination of anomalous pulmonary venous return with high-pitch low-dose computed tomography in paediatric patients

et al. 2021

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Three-dimensional computed tomography angiography of the pulmonary veins and their anatomical variations: involvement in video-assisted thoracoscopic surgery-lobectomy for lung cancer

Cited by 16 publications

References 12 publications

Variations of pulmonary vein drainage critical for lung resection assessed by three‐dimensional computed tomography angiography

Variations of pulmonary vein drainage critical for lung resection assessed by three‐dimensional computed tomography angiography

Uniportal VATS right superior lobectomy: management of pulmonary vein variation: a case report

Determination of anomalous pulmonary venous return with high-pitch low-dose computed tomography in paediatric patients

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