Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report

Yuri Fujimoto, Ryosuke Hamachi, Yoshimasa Motoyama, Etsuko Kanna, Masako Murakami, Takako Matsukado, Genkichi Saito, Ken Yamaura

研究成果: Contribution to journalArticle査読

抄録

Background: Cases of systemic thromboembolism due to thrombus formation in the pulmonary vein stump after lobectomy have been reported recently. Cerebral infarction after left upper lobectomy is a common symptom in these cases. We encountered a rare case of acute limb ischemia caused by a thrombus formed in the left inferior pulmonary vein stump after left lower lobectomy. Case presentation: A 62-year-old man underwent video-assisted left lower lobectomy under general anesthesia with epidural anesthesia. On postoperative day 2, he suddenly developed pain in the left calf. Contrast-enhanced computed tomography showed left popliteal artery occlusion and thrombus formation in the left inferior pulmonary vein stump. Anticoagulant therapy was started immediately, and emergent endovascular thrombectomy was performed. The patient recovered without complications. Conclusions: Left lower lobectomy can cause thrombus formation in the pulmonary vein stump, leading to systemic thromboembolism. Early detection and treatment are the keys to minimize complications.

本文言語英語
論文番号4
ジャーナルJA Clinical Reports
7
1
DOI
出版ステータス出版済み - 12 2021
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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