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Ann Thorac Surg 2002;73:985-986
© 2002 The Society of Thoracic Surgeons

Case report

Right aortic arch with left lung cancer: focusing on left recurrent laryngeal nerve

Dai Shida, MD*a,b, Yuji Asato, MDa,b, Ryuta Amemiya, MDa,b, Akifumi Suzuki, MDa,b, Fuyo Yoshimi, MDa,b

a Department of Surgery, Ibaraki Prefectural Central Hospital Ibaraki, Japan
b Cancer Center, Ibaraki, Japan

Accepted for publication June 13, 2001.

* Address reprint requests to Dr Shida, Department of Surgical Oncology, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
e-mail: shida-dis{at}h.u-tokyo.ac.jp

We report a case of a 64-year-old Japanese man with an anomalous right aortic arch who had left lung cancer. We performed lobectomy and mediastinal lymphadenectomy, paying attention to the pathway of left recurrent laryngeal nerve. The left recurrent laryngeal nerve hooked around from the left dorsal to the right ventral part of the left ductus arteriosus, which connected the left pulmonary artery with the aortic diverticulum.






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