Left Upper Lobe: Lingula




(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)




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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)


Jan 15, 2018 | Posted by in RESPIRATORY | Comments Off on Left Upper Lobe: Lingula

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