Anomalous right upper lobe venous drainage

Lung resections are usually not associated with significant bleeding, but can be fatal, especially in cases of video-assisted thoracoscopic surgery (VATS). Anomalous vascular structures could be a major reason for unexpected bleeding in such surgeries. We present a case of an aberrant upper lobe pul...

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Main Authors:	Tarazi, M., Mayooran, N., Philip, B., Anjum, M.N., O'Regan, K., Doddakula, K.
Format:	Online
Language:	English
Published:	Oxford University Press 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4807615/

id	pubmed-4807615
recordtype	oai_dc
spelling	pubmed-48076152016-03-28 Anomalous right upper lobe venous drainage Tarazi, M. Mayooran, N. Philip, B. Anjum, M.N. O'Regan, K. Doddakula, K. Case Reports Lung resections are usually not associated with significant bleeding, but can be fatal, especially in cases of video-assisted thoracoscopic surgery (VATS). Anomalous vascular structures could be a major reason for unexpected bleeding in such surgeries. We present a case of an aberrant upper lobe pulmonary vein that was encountered posterior to the right upper lobe bronchus during a right upper lobectomy via thoracotomy. The anomalous pulmonary vein was identified preoperatively on a computed tomography (CT) scan and hence was looked for before dividing the bronchus. Many centres are adopting the VATS approach for performing lung resections. If an anomalous vein is present posterior to the bronchus, it might be in a blind spot and could be damaged inadvertently, leading to profuse and potentially fatal bleeding. We conclude that the identification of anomalous vascular structures prior to surgery with the help of CT helps in avoiding adverse outcomes. Oxford University Press 2016-03-25 /pmc/articles/PMC4807615/ /pubmed/27016516 http://dx.doi.org/10.1093/jscr/rjw043 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Tarazi, M. Mayooran, N. Philip, B. Anjum, M.N. O'Regan, K. Doddakula, K.
spellingShingle	Tarazi, M. Mayooran, N. Philip, B. Anjum, M.N. O'Regan, K. Doddakula, K. Anomalous right upper lobe venous drainage
author_facet	Tarazi, M. Mayooran, N. Philip, B. Anjum, M.N. O'Regan, K. Doddakula, K.
author_sort	Tarazi, M.
title	Anomalous right upper lobe venous drainage
title_short	Anomalous right upper lobe venous drainage
title_full	Anomalous right upper lobe venous drainage
title_fullStr	Anomalous right upper lobe venous drainage
title_full_unstemmed	Anomalous right upper lobe venous drainage
title_sort	anomalous right upper lobe venous drainage
description	Lung resections are usually not associated with significant bleeding, but can be fatal, especially in cases of video-assisted thoracoscopic surgery (VATS). Anomalous vascular structures could be a major reason for unexpected bleeding in such surgeries. We present a case of an aberrant upper lobe pulmonary vein that was encountered posterior to the right upper lobe bronchus during a right upper lobectomy via thoracotomy. The anomalous pulmonary vein was identified preoperatively on a computed tomography (CT) scan and hence was looked for before dividing the bronchus. Many centres are adopting the VATS approach for performing lung resections. If an anomalous vein is present posterior to the bronchus, it might be in a blind spot and could be damaged inadvertently, leading to profuse and potentially fatal bleeding. We conclude that the identification of anomalous vascular structures prior to surgery with the help of CT helps in avoiding adverse outcomes.
publisher	Oxford University Press
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4807615/
_version_	1613557729085882368

Anomalous right upper lobe venous drainage

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