Right lung cancer with right aortic arch and posterior aortic left innominate vein

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  • Hara Masaki
    Department of Surgery II, Faculty of Medicine, University of Miyazaki
  • Matsuzaki Yasunori
    Department of Surgery II, Faculty of Medicine, University of Miyazaki
  • Shimizu Tetsuya
    Department of Surgery II, Faculty of Medicine, University of Miyazaki
  • Tomita Masaki
    Department of Surgery II, Faculty of Medicine, University of Miyazaki
  • Ayabe Takanori
    Department of Surgery II, Faculty of Medicine, University of Miyazaki
  • Onitsuka Toshio
    Department of Surgery II, Faculty of Medicine, University of Miyazaki

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  • 右大動脈弓とpostaortic left innominate veinを伴う右上葉肺癌の1手術例

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A 61-year-old woman was admitted to our hospital for surgical treatment of a right upper lobe adenocarcinoma. The patient had a right aortic arch with an aberrant left subclavian artery and a posterior left aortic innominate vein. Right upper lobectomy with mediastinal lymphadenectomy was performed via right thoracotomy. Although paratracheal and tracheobronchial lymph nodes were easily resected, there was difficulty resecting the superior mediastinal and pretracheal lymph nodes because of the aortic arch, aortic diverticulum and posterior left aortic innominate vein compression. Preoperative MDCT and FDG-PET are useful in planning the operative approach and likelihood of success.

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