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Case Reports

A Dangerous Venous Variation in Thoracoscopic Right Lower Lobectomy

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.