Internal carotid bulb occlusion by a giant thrombus after thoracoscopic left upper lung lobectomy successfully treated with endovascular stenting: a case report.

Autor: Saito, Tomohito, Kunieda, Takenobu, Hashimoto, Yasumasa, Ishida, Mitsuaki, Maru, Natsumi, Utsumi, Takahiro, Matsui, Hiroshi, Taniguchi, Yohei, Hino, Haruaki, Murakawa, Tomohiro
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Zdroj: General Thoracic & Cardiovascular Surgery Cases; 11/28/2023, Vol. 2 Issue 1, p1-7, 7p
Abstrakt: Background: Perioperative acute ischemic stroke following lung resection is relatively rare, though a devastating complication. Specifically, patients undergoing left upper lung lobectomy for lung cancer are likely to develop perioperative acute ischemic stroke. Case presentation: A 67-year-old man underwent thoracoscopic left upper lung lobectomy for lung adenocarcinoma; he experienced sudden-onset left hemiparesis and dysarthria on the morning of the second postoperative day. Angiography revealed occlusion of the bulbs of the right internal and external carotid arteries by a giant thrombus, which could not be removed through endovascular thrombectomy. We deployed a stent at the right carotid bifurcation to foist the giant thrombus, achieving revascularization 4 h after the onset. Treatment response was assessed as good improvement with a modified Rankin scale score of 0, and the patient was discharged home 19 days after symptom onset. Conclusions: We present a unique case of carotid bulb thromboembolism resulting from a giant thrombus following thoracoscopic left upper lung lobectomy, for which endovascular stenting was effective. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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