(1)
IMM, Curie-Montsouris Thorax Institute, Paris, France
Electronic Supplementary Material
The online version of this chapter (doi:10.1007/978-3-319-55901-8_16) contains supplementary material, which is available to authorized users.
16.1 Anatomical Landmarks (◘ Fig. 16.1)
Fig. 16.1
Anatomical landmarks; a lingular bronchus (lateral view), b lingular artery (lateral view). c The lingular vein is the lowermost root of the superior pulmonary vein (posterior view)
Bronchus
The lingular bronchus originates from the bifurcation of the upper lobe bronchus and has a short course before it enters the parenchyma (◘ Fig. 16.1a).
Arteries
The main supply to the lingula comes from the lingular trunk, which originates from the anterior aspect of the pulmonary artery within the fissure and splits into two segmental branches. In some patients, an additional lingular artery arises from the truncus anterior (◘ Fig. 16.1b).
Veins
The lingular vein is the lowermost tributary of the superior pulmonary vein. It is easily recognizable when the superior pulmonary vein has three major roots (V1+2, V3, and lingula) (◘ Fig. 16.1c). However, in some patients, there are actually multiple radiating venous branches. In these cases, it is safer to divide only the lowermost branch. Once the lingula will become mobile thanks to the arterial and bronchial division, the venous drainage will become more apparent.
16.2 Anatomical Variations and Pitfalls (◘ Fig. 16.2)
An A3 artery can rise close to A4+5 or even form a common trunk with the lingular artery (◘ Fig. 16.2a).Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree