Thoracoscopic esophagectomy with subcarinal lymph node dissection in the prone position for esophageal cancer with a right top pulmonary vein

Abstract The right top pulmonary vein (RTPV), a rare pulmonary vein (PV) variant draining the right upper lobe, arises independently from the right superior PV, travels posterior to the right bronchial tree and drains directly into the left atrium (LA) or another PV. We report an RTPV discovered on...

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Bibliographic Details
Published inJournal of surgical case reports Vol. 2023; no. 8
Main Authors Mikami, Shinya, Enomoto, Takeharu, Shimada, Jun, Hiwatari, Masaki, Tsukamoto, Yoshitsugu, Hisatsune, Yasuhito, Kimura, Sae, Arifuku, Hirotaka, Umezawa, Saori, Otsubo, Takehito
Format Journal Article
LanguageEnglish
Published Oxford University Press 04.08.2023
Subjects
Case Report
esophageal cancer
prone position
right top pulmonary vein
thoracoscopic esophagectomy
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Summary:Abstract The right top pulmonary vein (RTPV), a rare pulmonary vein (PV) variant draining the right upper lobe, arises independently from the right superior PV, travels posterior to the right bronchial tree and drains directly into the left atrium (LA) or another PV. We report an RTPV discovered on preoperative computed tomography (CT) scanning in a 60-y-old man who subsequently underwent prone thoracoscopic esophagectomy and subcarinal lymph node dissection. The preoperative CT scan showed an anomalous vessel 7.8 mm in diameter arising from the right upper lobe, running posterior to the right main bronchus (RMB), and draining directly into the LA. To our best knowledge, this is the largest reported RTPV (7.8 mm in diameter) and is an extremely rare variant, passing posterior to the RMB and draining into the LA.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjad462