A case of partial anomalous pulmonary venous connection (PAPVC) detected during left upper lobectomy for simple pulmonary aspergilloma

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  • 単純性肺アスペルギローマに対する左肺上葉切除時に発見された部分肺静脈還流異常の1例

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Abstract

<p>The patient was a 64-year-old man. Chest computed tomography (CT) showed a fungus ball at S1+2 of the left upper lobe, being treated by another hospital with a diagnosis of simple pulmonary aspergilloma (SPA). Since it was gradually increasing in size, he was introduced to our hospital for surgery. We performed left upper lobectomy based on a diagnosis of SPA from inspection before the operation. In the intraoperative findings, a cord that flowed into the left brachiocephalic vein from the left upper S1+2 was observed. We recognized the absence of the superior pulmonary vein flowing from the upper lobe to left atrium by searching the hilum. The left superior pulmonary vein was diagnosed as a partial pulmonary venous connection (PAPVC) flowing into the left brachiocephalic vein, and when preoperative CT was re-evaluated, it was possible to confirm reflux abnormality where the left superior pulmonary vein flowed into the left brachiocephalic vein. This time, PAPVC in resected lobes did not lead to serious complications; however, preoperative evaluation of various image findings is very important.</p>

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