title: Video-assisted thoracic surgery for left lung cancer in a patient with a right aortic arch.
abstract: We report a rare case of left lung cancer in a patient with a right aortic arch. A 65-year-old woman was diagnosed to have an adenocarcinoma in the left upper lobe (S3) in addition to a right aortic arch (type II), with the left subclavian artery originating from the descending aorta. Left upper lobectomy and lymph node dissection was performed by video-assisted thoracic surgery (VATS). For the mediastinal dissection, the upper mediastinal lymph nodes were easily resected after verifying the location of the arterial ligament and the recurrent laryngeal nerve (RLN). This is the first report of using VATS to remove a lung cancer from a patient with a right aortic arch.
authors.affiliation: Division of General Thoracic Surgery, Tottori University Hospital, 36-1 Nishi-cho, Yonago, Tottori 683-8504, Japan. hnaka@med.tottori-u.ac.jp
authors.forename: Hiroshige
authors.initials: H
authors.lastname: Nakamura
authors.forename: Ken
authors.initials: K
authors.lastname: Miwa
authors.forename: Yoshin
authors.initials: Y
authors.lastname: Adachi
authors.forename: Shinji
authors.initials: S
authors.lastname: Fujioka
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Haruki
authors.forename: Yuji
authors.initials: Y
authors.lastname: Taniguchi
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008197:Lymph Node Excision / Q000009:adverse effects; D011013:Pneumonectomy / Q000009:adverse effects; D012009:Recurrent Laryngeal Nerve / Q000473:pathology; D013348:Subclavian Artery / Q000002:abnormalities; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology / Q000517:prevention & control