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Angelo Carretta
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J Thorac Cardiovasc Surg 2005;130:1719-1720
© 2005 The American Association for Thoracic Surgery

Brief Communications

A particular anatomic variation of the course of the left pulmonary artery

Giulio Melloni, MD a , * , George Cremona, MD b , Angelo Carretta, MD a , Luca Ferla, MD a , Alessandro Bandiera, MD a , Piero Zannini, MD a

a Department of Thoracic Surgery and the Pulmonary Medicine Unit,
b Scientific Institute H San Raffaele, Milan, Italy

* Address for reprints: Giulio Melloni, MD, Unità Operativa di Chirurgia Toracica, Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy (Email: giulio.melloni@hsr.it).

The first 20% of the full text of this article appears below.


Figure 1
Dr. Melloni


Knowledge of the anomalies of the anatomic course of the pulmonary artery is important for the thoracic surgeon. Some of these variations are extremely frequent, whereas some others are exceptional. Detailed knowledge of these anomalies avoids inadvertent vascular lesions potentially causing life-threatening perioperative bleeding.

Clinical Summary

patient 1
A 61-year-old man underwent left upper lobectomy for T2 N0 squamous cell carcinoma. During the operation, an anomalous left pulmonary artery course was noted. The left pulmonary artery passed into the bifurcation between the common bronchus to the anterior and apical posterior segments and the lingular bronchus (Figure 1). The vascular anomaly prevented adequate exposure of the origin of the left upper bronchus. Separate manual closure . . . [Full Text of this Article]






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