Boyden's triad in the left lung: an interesting phenomenon

作者全名:"Zhang, Min; Sun, Wei-Jie; Wu, Qing-Chen; Ge, Ming-Jian"

作者地址:"[Zhang, Min; Sun, Wei-Jie; Wu, Qing-Chen; Ge, Ming-Jian] Chongqing Med Univ, Dept Cardiothorac Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China"

通信作者:"Ge, MJ (通讯作者),Chongqing Med Univ, Dept Cardiothorac Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China."

来源:INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY

ESI学科分类:CLINICAL MEDICINE

WOS号:WOS:000784686600001

JCR分区:Q4

影响因子:1.978

年份:2022

卷号: 

期号: 

开始页: 

结束页: 

文献类型:Article; Early Access

关键词:Boyden's triad; B3 downward-shifting; Segmentectomy

摘要:"OBJECTIVES: Boyden's triad of the right lung was first proposed in 2021. Here, we report 5 cases of this malformation found in the left lung. METHODS: A total of 5280 patients with pulmonary lesions underwent three-dimensional computed tomography bronchography and angiography between January 2019 and January 2021, prior to surgery; 5 cases of this malformation were identified in the left lung. Bronchovascular patterns were analysed in each patient. RESULTS: The incidence rate of Boyden's triad in the left lung was 0.1%. This malformation was further divided into B-3 on B4+5 type and B-3 on B-4 type. In B-3 on B4+5 type, B-3 was shifted downwards on the common trunk of B4+5, and A(3) arose from the common trunk of A(4+5) running alongside B-3. In B-3 on B-4 type, B-3 was shifted downwards on B-4. A(4) and A(5) appeared separately. A(3) arose from A(4), running alongside B-3; A(5) arose from the common trunk of A(8-10), and there was also an extraordinary 'posterior vein' (V. post): V(1+2)c. The incidence of V. post was 0.17%. An additional 'fissure' lies longitudinally between S1+2 and S3+4+5, nearly perpendicular to the oblique fissure, dividing the upper lobe into two lobes'. CONCLUSIONS: The B-3 downwards-shifting malformation can be found on both lungs, and this is the first description of Boyden's triad in the left lung; it appears to be much rarer than that in the right lung, with some accompanying unique variations."

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