Unilateral absence of pulmonary artery associated with lung cancer: analysis of operation strategy based on digital preoperative planning and surgical simulation with three-dimensional visualization

Abstract

Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly. The occurrence of lung cancer in association with UAPA is even rarer, and clinical experience is very limited. This report aims to describe a case of unilateral absence of the right pulmonary artery that was associated with primary carcinoma of the contralateral lung. Both ipsilateral and contralateral lung cancer operations in patients with UAPA are extremely rare, with limited clinical experience. This article provides insights into the operative tolerability and outcomes after lung surgery in patients with UAPA, with an analysis of the operation strategy based on digital preoperative planning and surgical simulation with three-dimensional (3D) visualization, which may enable lung cancer surgery to be performed safely.

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Abbreviations

LPA:

Left pulmonary artery

3D:

Three-dimensional

CT:

Computed tomography

UAPA:

Unilateral absence of pulmonary artery

mGGO:

Mixed ground-glass opacity

NSCLC:

Non-small cell lung cancer

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Funding

This work was supported by the Medical and Health Research Program (NO. A20-2-015), Science and Technology Bureau of Yichang.

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Contributions

YL, SZ: project development, data Collection, manuscript writing. YL: data collection. YL, SZ: manuscript writing. SZ: administrative support.

Corresponding author

Correspondence to Songlin Zhang.

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Yun Liu and Songlin Zhang have no conflict of interest or financial ties to disclose.

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Informed consent was obtained from the patient before surgery.

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Liu, Y., Zhang, S. Unilateral absence of pulmonary artery associated with lung cancer: analysis of operation strategy based on digital preoperative planning and surgical simulation with three-dimensional visualization. Surg Radiol Anat 43, 347–351 (2021). https://doi.org/10.1007/s00276-021-02695-9

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Keywords

  • Unilateral absence of pulmonary artery
  • Lung cancer
  • Three-dimensional visualization
  • Thoracic surgery
  • Embryonic development