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Fig. 3 | Journal of Cardiothoracic Surgery

Fig. 3

From: Right upper lobectomy with mediastinal dissection under uniportal video-assisted thoracoscopic surgery for lung cancer in a patient with a right-sided aortic arch: a case report

Fig. 3

(a) Operative findings of the right upper lobectomy

Intraoperative findings after dividing the interlobar fissure. (b) The right upper lobe pulmonary vein (V1 + 2 + 3). (c) The truncus anterior artery (A1 + 3). (d) The ascending artery (A2b) was cut using staplers Endo-GIA Ultra Universal Staples; Medtronic plc., Dubin, Ireland)

(e-1) The stapler was advanced over the descending aorta, thereby causing malpositioning of the planned resection line of the right upper lobe bronchus

(e-2) By manipulating the staple toward the inferior margin of the aortic arch, the right upper lobe bronchi were dissected appropriately

PA, pulmonary artery; AA, aortic arch; AV, azygos vein; RUB, right upper lobe bronchus; RUL, right upper lobe; BI, bronchus intermedius; DAO, descending aorta; SVC, superior vena cava

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Journal of Cardiothoracic Surgery

ISSN: 1749-8090

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