Video-assisted thoracic surgery for left lung cancer in a patient with a right aortic arch.
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.
Nakamura
Hiroshige
H
Division of General Thoracic Surgery, Tottori University Hospital, 36-1 Nishi-cho, Yonago, Tottori 683-8504, Japan. hnaka@med.tottori-u.ac.jp
Miwa
Ken
K
Adachi
Yoshin
Y
Fujioka
Shinji
S
Haruki
Tomohiro
T
Taniguchi
Yuji
Y
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