3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe

ABSTRACT Anatomical variation of the pulmonary vessels poses challenges to thoracoscopic lung resection and may be associated with an increased risk of intraoperative bleeding and damage to pulmonary circulation. Herein, we reported a rare and dangerous variation as the partial anomalous venous drai...

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Main Authors: Maria Antonietta Puca, Antonio Marella, Maria Marvulli, Anna Rainone, Francesca Capasso, Vincenzo diFilippo, Gaetana Messina, Alfonso Fiorelli
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Thoracic Cancer
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Online Access:https://doi.org/10.1111/1759-7714.15525
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author Maria Antonietta Puca
Antonio Marella
Maria Marvulli
Anna Rainone
Francesca Capasso
Vincenzo diFilippo
Gaetana Messina
Alfonso Fiorelli
author_facet Maria Antonietta Puca
Antonio Marella
Maria Marvulli
Anna Rainone
Francesca Capasso
Vincenzo diFilippo
Gaetana Messina
Alfonso Fiorelli
author_sort Maria Antonietta Puca
collection DOAJ
description ABSTRACT Anatomical variation of the pulmonary vessels poses challenges to thoracoscopic lung resection and may be associated with an increased risk of intraoperative bleeding and damage to pulmonary circulation. Herein, we reported a rare and dangerous variation as the partial anomalous venous drainage of the right upper lobe into the superior vena cava in a patient undergoing thoracoscopic lobectomy for management of lung cancer of right upper lobe. The preoperative identification of such variation by 3D computed tomography scan allowed to plan a safe and accurate resection, and to prepare additional strategies for overcome unexpected intraoperative bleeding. No intraoperative and/or postoperative complications were observed. Chest drainage was removed on postoperative day two and patient discharged the day after. At 3 months follow up, the patient was well without recurrence.
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series Thoracic Cancer
spelling doaj-art-0d3e5cf81b5048a58ced973db010f1a92025-08-20T02:47:09ZengWileyThoracic Cancer1759-77061759-77142025-01-01161n/an/a10.1111/1759-7714.155253D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper LobeMaria Antonietta Puca0Antonio Marella1Maria Marvulli2Anna Rainone3Francesca Capasso4Vincenzo diFilippo5Gaetana Messina6Alfonso Fiorelli7Thoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit, Department of Translational Medicine University of Campania Luigi Vanvitelli Naples ItalyABSTRACT Anatomical variation of the pulmonary vessels poses challenges to thoracoscopic lung resection and may be associated with an increased risk of intraoperative bleeding and damage to pulmonary circulation. Herein, we reported a rare and dangerous variation as the partial anomalous venous drainage of the right upper lobe into the superior vena cava in a patient undergoing thoracoscopic lobectomy for management of lung cancer of right upper lobe. The preoperative identification of such variation by 3D computed tomography scan allowed to plan a safe and accurate resection, and to prepare additional strategies for overcome unexpected intraoperative bleeding. No intraoperative and/or postoperative complications were observed. Chest drainage was removed on postoperative day two and patient discharged the day after. At 3 months follow up, the patient was well without recurrence.https://doi.org/10.1111/1759-7714.15525anomalous venous drainagelung cancerright upper lobethoracoscopy
spellingShingle Maria Antonietta Puca
Antonio Marella
Maria Marvulli
Anna Rainone
Francesca Capasso
Vincenzo diFilippo
Gaetana Messina
Alfonso Fiorelli
3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
Thoracic Cancer
anomalous venous drainage
lung cancer
right upper lobe
thoracoscopy
title 3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
title_full 3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
title_fullStr 3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
title_full_unstemmed 3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
title_short 3D Computed Tomography Reconstruction for Pre‐Operative Diagnosis of Anomalous Venous Drainage of the Right Upper Lobe
title_sort 3d computed tomography reconstruction for pre operative diagnosis of anomalous venous drainage of the right upper lobe
topic anomalous venous drainage
lung cancer
right upper lobe
thoracoscopy
url https://doi.org/10.1111/1759-7714.15525
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