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How many lobes do you see?

Author(s): Karangelis Dimos | Tagarakis Georgios | Chlapoutakis Serapheim | Papadopoulos Dimitrios | Roubelakis Apostolos | Hevas Athanasios | Daskalopoulos Marios | Tsantsaridou Angeliki | Lampoura Stefania | Tsilimingas Nikolaos

Journal: Journal of Cardiothoracic Surgery
ISSN 1749-8090

Volume: 6;
Issue: 1;
Start page: 145;
Date: 2011;
Original page

Keywords: accessory fissure | lung deformity | intraoperative image

Abstract Accessory fissures represent a variation of the normal lung anatomy. Incomplete development or even the absence of the major or minor fissures can lead to confusion in distinguishing adjacent lobes. This report aims to present a rare intraoperative finding of an anatomic malformation of the right lung in a 19-year old male patient with recurrent pneumothorax who underwent a surgical repair. An accessory fissure which was separating the superior segment of the lower lobe from the basal segments gave to the whole lung the unique image of a four-lobed one. A profound knowledge of the accessory fissures, even if they are incidentally discovered, is of pivotal importance for the thoracic surgeon and leads to optimal operative assessment and strategic planning.
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