Pulmonary azygous lobe: a potential obstacle during thoracoscopic sympathectomy J. Smith, S. Karthik and J.A.C.

Thorpe Eur J Cardiothorac Surg 2004;25:137DOI: 10.1016/j.ejcts.2003.09.028

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The European Journal of Cardio-thoracic Surgery is the official Journal of the European Association for Cardio-thoracic Surgery and the European Society of Thoracic Surgeons. Copyright 2004 by European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved. Print ISSN: 1010-7940.

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European Journal of Cardio-thoracic Surgery 25 (2004) 137 www.elsevier.com/locate/ejcts

Images in cardio-thoracic surgery

Pulmonary azygous lobe: a potential obstacle during thoracoscopic sympathectomy

J. Smith*, S. Karthik, J.A.C. Thorpe
Department of Cardiothoracic Surgery, SHO in Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Inrmary, Great George Street, LEEDS LS1 3EX, UK Received 18 July 2003; received in revised form 21 September 2003; accepted 28 September 2003

Keywords: Thoracoscopic; Sympathectomy; Azygous lobe

A 35 year-old man underwent bilateral video assisted thoracoscopic symapthectomy for axillary hyperhydrosis. Preoperative chest radiograph revealed an azygous lobe (Fig. 1). The azygous vein obscured the view partially during adhesiolysis to mobilise the azygous lobe from the parietal pleura (Figs. 2a,b).

Fig. 1. Close-up view of the right upper zone revealing the azygous lobe and ssure. * Corresponding author. Tel.: 44-113-392-5897; fax: 44-113-3928436. E-mail address: drjonsmith@hotmail.com (J. Smith). 1010-7940/$ - see front matter q 2003 Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2003.09.028 Fig. 2. (a) (above): Intraoperative thoracoscopic view of the azygous lobe (arrow). (b) (below): Intraoperative thoracoscopic view showing the azygous vein (single arrow) and the adhesions between the pleura and the azygous lobe (double arrow).

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Pulmonary azygous lobe: a potential obstacle during thoracoscopic sympathectomy J. Smith, S. Karthik and J.A.C. Thorpe Eur J Cardiothorac Surg 2004;25:137DOI: 10.1016/j.ejcts.2003.09.028 This information is current as of October 14, 2009
Updated Information & Services Citations Subspecialty Collections including high-resolution figures, can be found at: http://ejcts.ctsnetjournals.org/cgi/content/full/25/1/137 This article has been cited by 1 HighWire-hosted articles: http://ejcts.ctsnetjournals.org/cgi/content/full/25/1/137#otherarticles This article, along with others on similar topics, appears in the following collection(s): Lung - other http://ejcts.ctsnetjournals.org/cgi/collection/lung_other Pleura http://ejcts.ctsnetjournals.org/cgi/collection/pleura Information about reproducing this article in parts (figures, tables) or in its entirety can be found online at: http://ejcts.ctsnetjournals.org/misc/Permissions.shtml Information about ordering reprints can be found online: http://ejcts.ctsnetjournals.org/misc/reprints.shtml

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