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Ann Thorac Surg 2003;75:2011-2012
© 2003 The Society of Thoracic Surgeons

Correspondence

Right upper lobe venous drainage posterior to the bronchus intermedius

John H. M. Austin, MDa

a Division of Thoracic Imaging, Columbia Presbyterian Medical Center, 622 W 168th St, New York, NY 10032, USA

e-mail: jhu3{at}columbia.edu

To the Editor:

Spaggian and co-workers [1] are to be congratulated for calling surgeons’ attention to an anatomic variant of pulmonary venous drainage from the posterior segment of the right upper lobe in which a medial venous branch runs immediately posterior to the bronchus intermedius. However, they err in calling this variant "exceptional."

Two radiological studies describe the frequency of this vein at computed tomography. Jardin and Remy [2] observed it in 10 (9%) of 107 patients and Kim and colleagues [3], in 10 (4%) of 280 patients.

References

  1. Spaggian L., Solli P., Leo F., Veronesi G., Pastorino U. Anomalous segmental vein for right upper lobe: an unusual anatomical variation. Ann Thorac Surg 2002;74:267.[Free Full Text]
  2. Jardin M., Remy J. Segmental bronchovascular anatomy of the lower lobes: CT analysis. AJR 1986;147:457-468.[Abstract/Free Full Text]
  3. Kim J.S., Choi D., Lee K.S. CT of the bronchus intermedius: frequency and cause of a nodule in the posterior wall on normal scans. AJR 1995;165:1349-1352.[Abstract/Free Full Text]



This article has been cited by other articles:


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 Ann. Thorac. Surg.Home page
K. Asai, N. Urabe, K. Yajima, K. Suzuki, and T. Kazui
Right Upper Lobe Venous Drainage Posterior to the Bronchus Intermedius: Preoperative Identification by Computed Tomography
Ann. Thorac. Surg., June 1, 2005; 79(6): 1866 - 1871.
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