Pulmonary vein thrombosis and cerebral infarction after video-assisted thoracic surgery of the left upper lobe: a case series
Autor: | Mitsuko Hashiguchi, Masashi Yanada, Kiichi Hirota, Kei Kambara, Shogo Toda, Yumiko Mori, Yosuke Fujii |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Left upper lobe Case Report Thromboembolic complication Pulmonary vein thrombosis (PVT) 030204 cardiovascular system & hematology Pulmonary vein lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Embolus Anesthesiology medicine Perioperative management Video-assisted thoracic surgery (VATS) Lung cancer Stroke Cerebral infarction business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid nutritional and metabolic diseases lcsh:RC86-88.9 medicine.disease Surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology Cardiothoracic surgery 030220 oncology & carcinogenesis business human activities |
Zdroj: | JA Clinical Reports JA Clinical Reports, Vol 6, Iss 1, Pp 1-5 (2020) |
ISSN: | 2363-9024 |
Popis: | Background Pulmonary vein thrombosis (PVT) and cerebral infarction are rare but critical complications after video-assisted thoracic surgery (VATS). Case presentation We experienced two cases of massive middle cerebral artery infarction after VATS for the left upper lobe. Although the precise source of their embolus was never identified, both cases were clinically suspected PVT. Unfortunately, case 2 died because of progressive cerebral herniation. We decided to perform contrast-enhanced computed tomography routinely after VATS for the left upper lobectomy (VATS-LUL) after these cases. Case 3, a 79-year-old female patient, underwent VATS-LUL for lung cancer. She developed PVT in the stump of the left upper pulmonary vein on postoperative day 4. Anti-coagulation therapy was begun immediately and continued for 3 months. She was free of complications 7 months after the operation. Conclusion PVT and cerebral infarction may occur after VATS-LUL. Appropriate postoperative management is required to recognize PVT and to prevent life-threatening stroke. |
Databáze: | OpenAIRE |
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