Left lower lobe

Dr Jeremy Jones et al.

The left lower lobe (LLL) is one of two lobes in the left lung. It is separated from the left upper lobe by the left oblique fissure and subdivided into four bronchopulmonary segments.

    Gross anatomy

    Location and structure

    The LLL lies in the posterior and lower aspect of the left hemithorax and contains four bronchopulmonary segments:

    Like all the pulmonary lobes, it is lined by visceral pleura which reflects at the pulmonary hilum where it is continuous with the parietal pleura. The left lower lobe bronchus arises as the inferiorly angled continuation of the left main bronchus to traverse the left hilum into the LLL.

    The LLL is separated from the left upper lobe posterosuperiorly by the left oblique fissure.

    Arterial supply

    Like all the lobes of the lung, the LLL has dual arterial supply:

    Venous drainage

    Venous drainage of newly oxygenated blood is via the right inferior pulmonary vein into the left atrium.

    Left bronchial veins drain into the accessory hemiazygos vein or the
    left superior intercostal vein.

    Lymphatic drainage

    The superficial subpleural lymphatic plexus drains the lung parenchyma and visceral pleura to the bronchopulmonary (hilar) lymph nodes in the hilum.

    The deep bronchopulmonary lymphatic plexus (in the bronchial submucosa and peribronchial interstitium) drains the root of the lung to hilar lymph nodes in the hilum.

    The hilar lymph nodes then drain to the tracheobronchial lymph nodes,

    • parasympathetic fibres from the vagus nerve (CN X)
    • sympathetic fibres from the paravertebral sympathetic trunks

    Related pathology

    Thoracic anatomy
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    Article Information

    rID: 13643
    System: Chest
    Section: Anatomy
    Tags: refs, cases
    Synonyms or Alternate Spellings:
    • LLL

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