title: Video-assisted thoracoscopic left lower lobectomy in a patient with lung cancer and a right aortic arch.
abstract: A right aortic arch is a rare congenital anomaly, with a reported incidence of around 0.1%. A patient with a right aortic arch underwent video-assisted thoracic surgery left lower lobectomy and mediastinal lymph node dissection for squamous cell carcinoma. There was no aortic arch or descending aorta in the left thoracic cavity, but the esophagus. There was no anomaly in the location or branching of the pulmonary vessels, the bronchi, and the lobulation of the lungs. The vagus nerve was found at the level of the left pulmonary artery. The arterial ligament was found between the left subclavian artery and the left pulmonary artery. The recurrent laryngeal nerve was recurrent around the left subclavian artery. A Kommerell diverticulum was found at the origin of the left subclavian artery. The patient experienced no complications. We conclude that video-assisted thoracoscopic lobectomy with mediastinal dissection is feasible for treating lung cancer with a right aortic arch.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo, 060-8638, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Wada
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Hida
authors.forename: Kichizo
authors.initials: K
authors.lastname: Kaga
authors.forename: Ryunosuke
authors.initials: R
authors.lastname: Hase
authors.forename: Kazuto
authors.initials: K
authors.lastname: Ohtaka
authors.forename: Jun
authors.initials: J
authors.lastname: Muto
authors.forename: Nakada-Kubota
authors.initials: NK
authors.lastname: Reiko
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hirano
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Matsui
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000473:pathology*