Related Experiment Video
Updated: May 16, 2025
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Video-assisted thoracoscopic lobectomy for a patient with rare partial anomalous pulmonary vein connection: Case
Xiayimaierdan Yibulayin1, Guliniaer Feida2, Xiaohong Sun1
1Department of Thoracic Surgery, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, China.
Rationale:
Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital vascular anomaly that often remains undetected in asymptomatic patients. While most cases are hemodynamically insignificant, failure to recognize PAPVC preoperatively may lead to intraoperative misidentification and surgical complications. Coexistence of PAPVC and lung cancer, particularly on the ipsilateral side, is extremely rare and poses challenges for surgical decision-making.
Patient Concerns:
A 55-year-old man, asymptomatic and uncharacteristic in his past medical history, presented with an abnormal shadow in the left lower lobe during a regular checkup.
Diagnoses:
Pulmonary sarcomatoid carcinoma, partial anomalous pulmonary vein connection.
Interventions:
The patient underwent video-assisted thoracoscopic left lower lobectomy without surgical correction of the PAPVC.
Outcomes:
The patient remained in good health at the 14-month follow-up.
Lessons:
In patients with ipsilateral PAPVC and no evidence of hemodynamic compromise, anatomical lobectomy alone may be a safe and effective surgical option without the need for venous correction.
