2006 Volume 20 Issue 2 Pages 166-170
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.
