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Robert L. Smith, II
George L. Zorn, III
Benjamin B. Peeler
David R. Jones
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J Thorac Cardiovasc Surg 2006;132:982-983
© 2006 The American Association for Thoracic Surgery

Brief Communication

Combined bronchial sleeve resection and repair of partial anomalous pulmonary venous return

Robert L. Smith, II, MD, George L. Zorn, III, MD, Benjamin B. Peeler, MD, David R. Jones, MD*

University of Virginia School of Medicine, Charlottesville, Va.

Received for publication May 8, 2006; accepted for publication May 17, 2006.

* Address for reprints: David R. Jones, MD, Department of Surgery, General Thoracic Surgery, PO Box 800679, University of Virginia, Charlottesville, VA 22908-0679. (Email: djones@virginia.edu).

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

Pulmonary sleeve resection for benign and malignant tumors of the proximal lobar bronchi preserves pulmonary function and avoids performance of a pneumonectomy. Partial anomalous pulmonary venous return (PAPVR) in an adult is a rare finding that is usually asymptomatic. We report a case of an obstructing left lower lobe carcinoid tumor combined with a PAPVR of the left superior pulmonary vein that was successfully managed without the need for pneumonectomy.

Clinical Summary

A 45-year-old female nonsmoker presented with a several-month history of fatigue, night sweats, fever, and moderate dyspnea. Multiple antibiotic treatments for left lower lobe pneumonia had failed. A chest roentgenogram demonstrated a left hilar mass and lower lobe collapse. Bronchoscopy demonstrated a 2 x 2–cm mass nearly occluding the distal left main stem bronchus and originating from the left lower lobe bronchus. Bronchial brushings and washings were nondiagnostic, but the mass was highly suspicious for a carcinoid tumor.

Computed tomography demonstrated a normal-appearing left upper lobe, confirmed the left lower lobe collapse, and identified a presumed anomalous . . . [Full Text of this Article]




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