Preoperative evaluation of a tracheal bronchus by three-dimensional 64-row multidetector-row computed tomography (MDCT) bronchography and angiography: Report of a case

We performed successful surgery for lung cancer after confirming the anatomical abnormality of a tracheal bronchus by three-dimensional multidetector-row computed tomography (3D-MDCT) bronchography and angiography. Tracheal bronchus is unusual, and right upper lobectomy for lung cancer would rarely...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2008-09, Vol.38 (9), p.841-843
Main Authors: Akiba, Tadashi, Marushima, Hideki, Takagi, Masamichi, Odaka, Makoto, Harada, Junta, Kobayashi, Susumu, Morikawa, Toshiaki
Format: Article
Language:English
Subjects:
Aged
Angiography
Bronchi - abnormalities
Bronchography
Case Report
Humans
Imaging, Three-Dimensional
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - surgery
Male
Medicine
Medicine & Public Health
Pulmonary Artery - diagnostic imaging
Surgery
Surgical Oncology
Tomography, X-Ray Computed
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Summary:We performed successful surgery for lung cancer after confirming the anatomical abnormality of a tracheal bronchus by three-dimensional multidetector-row computed tomography (3D-MDCT) bronchography and angiography. Tracheal bronchus is unusual, and right upper lobectomy for lung cancer would rarely be performed in a patient with a tracheal bronchus. Most clinicians are unfamiliar with the anatomy of a right upper lobe that includes a tracheal bronchus. Preoperative 3D imaging of the tracheal bronchus and its related vessels familiarized us with the anatomy of this patient before the operation. Thus, we recommend preoperative 3DMDCT bronchography and angiography, especially for patients with a possible bronchial anomaly.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-007-3717-z