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Yokoyama Y, Sato M, Omasa M, et al. Three-dimensional imaging for thoracoscopic resection of complex lung anomalies. Surg Case Rep. 2017;3(1):106doi: 10.1186/s40792-017-0383-2.
Yokoyama, Y., Sato, M., Omasa, M., & Date, H. (2017). Three-dimensional imaging for thoracoscopic resection of complex lung anomalies. Surgical case reports, 3(1), 106. https://doi.org/10.1186/s40792-017-0383-2
Yokoyama, Yuhei, et al. "Three-dimensional imaging for thoracoscopic resection of complex lung anomalies." Surgical case reports vol. 3,1 (2017): 106. doi: https://doi.org/10.1186/s40792-017-0383-2
Yokoyama Y, Sato M, Omasa M, Date H. Three-dimensional imaging for thoracoscopic resection of complex lung anomalies. Surg Case Rep. 2017 Sep 25;3(1):106. doi: 10.1186/s40792-017-0383-2. PMID: 28948543; PMCID: PMC5612898.
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Surg Case Rep. 2017 Sep 25;3(1):106. doi: 10.1186/s40792-017-0383-2.

Three-dimensional imaging for thoracoscopic resection of complex lung anomalies.

Surgical case reports

Yuhei Yokoyama, Masaaki Sato, Mitsugu Omasa, Hiroshi Date

Affiliations

  1. Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. [email protected].
  2. Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

PMID: 28948543 PMCID: PMC5612898 DOI: 10.1186/s40792-017-0383-2

Abstract

BACKGROUND: Building surgical strategies for complex lung anomalies such as congenital pulmonary venolobar syndrome is difficult because of their rarity and variance. Using three-dimensional computed tomography (3D-CT), we can determine strategies safely. We describe a 27-year-old man with multifocal pulmonary malformations who underwent video-assisted thoracoscopic surgery (VATS) using 3D-CT.

CASE PRESENTATION: A 27-year-old man presented with hemoptysis associated with complex pulmonary malformations, including a triple-arched vein connecting the superior and inferior pulmonary veins with partial drainage into the inferior vena cava, a systemic and numerous arterial supply to the right lower lobe from the abdominal aorta, abnormal lobulation, and a tracheal bronchus in the right lung. Preoperative simulation using 3D-CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of semi-emergent middle and lower bilobectomy via minimally invasive VATS.

CONCLUSIONS: Preoperative simulation using 3D-CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of surgery even in a complex case.

Keywords: Congenital lung disease; Thoracic surgery; Three-dimensional computed tomography

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