Cerebral Embolism Caused by Thrombus in the Pulmonary Vein Stump after Left Lower Lobectomy: A Case Report and Literature Review

Cerebral Embolism Caused by Thrombus in the Pulmonary Vein Stump after Left Lower Lobectomy: A Case Report and Literature Review

Cerebral embolism after left upper lobectomy caused by a thrombus in the pulmonary vein stump (PVS) is a serious complication. However, it is unclear if cerebral embolism can develop after other types of lobectomy. We present a case of a 68-year-old man with cerebral embolism after left lower lobect...

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Veröffentlicht in:Internal Medicine 2019/05/01, Vol.58(9), pp.1349-1354
Hauptverfasser: Usui, Genki, Takayama, Yohei, Hashimoto, Hirotsugu, Katano, Takehiro, Yanagiya, Masahiro, Kusakabe, Masashi, Miura, Tamaki, Matsumoto, Jun, Horiuchi, Hajime, Okubo, Seiji
Format: Artikel
Sprache:eng
Schlagworte:
Blood clots
Case Report
Embolism
Embolisms
endovascular thrombectomy
Internal medicine
Leukocytes (neutrophilic)
Literature reviews
lung cancer
Lungs
stroke
Thrombosis
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Zusammenfassung:Cerebral embolism after left upper lobectomy caused by a thrombus in the pulmonary vein stump (PVS) is a serious complication. However, it is unclear if cerebral embolism can develop after other types of lobectomy. We present a case of a 68-year-old man with cerebral embolism after left lower lobectomy with a longer PVS than normal. There were no clinically suspected sources for the thrombus except for the PVS. This thrombus seemed to have formed in the PVS. The endovascularly removed thrombus contained scattered nuclear debris around neutrophils, suggesting a physiological response caused by tissue injury.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1962-18