{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:59:59Z","timestamp":1768435199912,"version":"3.49.0"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T00:00:00Z","timestamp":1565913600000},"content-version":"vor","delay-in-days":227,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n There are several anomalies of the pulmonary vessels. Clinicians need to be well informed about anatomy, particularly before video-assisted thoracic surgery, to prevent fatal complications.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case<\/jats:title>\n We report the case of an 80-year-old woman who was suspected of having lung cancer in the right lower lobe. The patient was accordingly scheduled for surgery. Three-dimension multidetector computed tomography (3D-MDCT) showed an extremely rare anomaly in which A4 + 5 ran between V2 and V1 + 3. We scheduled a non-anatomical wedge resection of the lesion and performed rapid pathological diagnosis during surgery. Because adenocarcinoma was diagnosed, we performed right lower lobectomy using video-assisted thoracic surgery. Station 11i lymph node rigidly adhered to the main pulmonary artery, V2, and intermedius bronchus. Thus, the surgery was shifted to middle and lower lobectomy.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n To the best of our knowledge, this type of anomaly has not been reported yet. Pulmonary vessels can be accurately identified using 3D-MDCT; thus, a rare anatomy can be identified, and information can be shared across the surgical team simulating familiarity with this rare anatomy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Using 3D-MDCT, we could accurately divide A4 + 5 and safely perform the surgery.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2019.08.013","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T11:38:34Z","timestamp":1566301114000},"page":"97-99","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare anomaly of A4+5 on three-dimension multidetector computed tomography in lung cancer"],"prefix":"10.1097","volume":"62","author":[{"given":"Shinichi","family":"Sakamoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromasa","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Hino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Sakiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-24-20260114","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1007\/s11748-013-0336-z","article-title":"Utility of three-dimensional computed tomography in general thoracic surgery","volume":"61","author":"Akiba","year":"2013","journal-title":"Gen. Thorac. Cardiovasc. Surg"},{"key":"R3-24-20260114","first-page":"S295","article-title":"Update on three-dimensional image reconstruction for preoperative simulation in thoracic surgery","volume":"8","author":"Chen-Yoshikawa","year":"2016","journal-title":"J. Thorac. Dis"},{"key":"R4-24-20260114","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/S0003-4975(02)04375-8","article-title":"Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections","volume":"75","author":"Watanabe","year":"2003","journal-title":"Ann. Thorac. Surg"},{"key":"R5-24-20260114","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.1093\/ejcts\/ezu375","article-title":"High-quality 3-dimensional image simulation for pulmonary lobectomy and segmentectomy: results of preoperative assessment of pulmonary vessels and short-term surgical outcomes in consecutive patients undergoing video-assisted thoracic surgery","volume":"46","author":"Hagiwara","year":"2014","journal-title":"Eur. J. Cardiothorac. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219304766?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261219304766?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201962000-00024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:22:22Z","timestamp":1768396942000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201962000-00024"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":4,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2019.08.013","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}