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Ann Thorac Surg 2009;87:e9-e10. doi:10.1016/j.athoracsur.2008.08.051
© 2009 The Society of Thoracic Surgeons
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Shunsuke Endo
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Case Reports

A Dangerous Venous Variation in Thoracoscopic Right Lower Lobectomy

Shunsuke Endo, MD*, Hiroyoshi Tsubochi, MD, Tomoyuki Nakano, MD, Yasunori Sohara, MD

Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Omiya-ku, Saitama, Japan

Accepted for publication August 20, 2008.

* Address correspondence to Dr Endo, Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama, 330-8503, Japan (Email: tcvshun{at}jichi.ac.jp).

Anatomical variations of the pulmonary vessels present a potential risk of intraoperative bleeding and damage to pulmonary circulation during pulmonary resection. We present details of a dangerous variation of the superior pulmonary vein associated with thoracoscopic right lower lobectomy that could potentially be divided if there was no preoperative foreknowledge of individual vessel configurations.




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