Right Apical-Posterior Segmentectomy with Abnormal Anterior Segmental Bronchus and Artery: A Case Report [post]

Xining Zhang, Gang Lin, Jian Li
2020 unpublished
Background: Displaced anterior segmental bronchus and pulmonary artery is extremely rare. A keen knowledge of such variations is required in the field of pulmonary segmentectomy, for unawareness of the structural variation could lead to intra- and postoperative complications. Case presentation: A 50-year-old female presented to our department with suspected lung adenocarcinoma. Preoperative 3-dimensional computed tomographic bronchography and angiography revealed anterior segmental bronchus and
more » ... mental bronchus and anterior segmental pulmonary artery variation: the anterior segmental bronchus derived from the middle lobe bronchus, accompanied by a distally distributed anterior segmental pulmonary artery branch. A right apical-posterior segmentectomy was performed successfully. Conclusions: The keen observation and proper application of modern imaging technology and operative technique could greatly aid segmentectomy, preventing intra- and postoperative complications from happening.
doi:10.21203/rs.3.rs-52805/v1 fatcat:r6bu3waocfgr5lqgr626i34cye