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Updated: Dec 29, 2025
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Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
Published on: October 28, 2020
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Multiple variations in pulmonary veins during a thoracoscopic right lower lobectomy: A case report
Dario Amore1, Dino Casazza1, Umberto Caterino2
1Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.
Thoracic Cancer
|January 29, 2020
Summary
Understanding pulmonary vein anatomy variants is crucial for safe lung resections. Preoperative identification of variations, like separate draining veins, helps surgeons prevent complications during procedures.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Radiology
Background:
- Accurate preoperative assessment of pulmonary vein anatomy is essential for safe major lung resections.
- Vascular anomalies and anatomical variations in pulmonary veins can complicate surgical procedures.
Observation:
- A patient undergoing thoracoscopic right lower lobectomy presented with multiple, previously unidentified pulmonary vein variations.
- These variations included separate superior and common basal veins from the right lower lobe draining into the left atrium.
- Additionally, middle lobe veins joined the superior segment right lower lobe vein, with another superior segment vein draining directly into the left atrium.
Findings:
- Preoperative and intraoperative identification of complex pulmonary vein variations was achieved.
- The specific variations involved anomalous drainage patterns of right lower and middle lobe veins.
Implications:
- Recognizing these anatomical abnormalities is critical for thoracic surgeons.
- Awareness of pulmonary vein variations can help prevent intraoperative complications and improve patient safety during anatomical lung resections.
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