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Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report
Pulmonary vein thrombosis is a rare disease but can cause severe complications. However, pathophysiology of this entity is not fully understood. We report a case of mechanical thrombectomy for acute ischemic stroke arising from thrombus of the left superior pulmonary vein stump after left pneumonect...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japan Neurosurgical Society
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350028/ https://www.ncbi.nlm.nih.gov/pubmed/30701150 http://dx.doi.org/10.2176/nmccrj.cr.2018-0163 |
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author | Sonobe, Shinya Yoshida, Masahiro Niizuma, Kuniyasu Tominaga, Teiji |
author_facet | Sonobe, Shinya Yoshida, Masahiro Niizuma, Kuniyasu Tominaga, Teiji |
author_sort | Sonobe, Shinya |
collection | PubMed |
description | Pulmonary vein thrombosis is a rare disease but can cause severe complications. However, pathophysiology of this entity is not fully understood. We report a case of mechanical thrombectomy for acute ischemic stroke arising from thrombus of the left superior pulmonary vein stump after left pneumonectomy. A 67-year-old male without atrial fibrillation presented with middle cerebral artery occlusion 11 days after left pneumonectomy. Contrast-enhanced computed tomography showed thrombus in the left superior pulmonary vein stump. He received mechanical thrombectomy and had a good postoperative course. The retrieved embolus was macroscopically red thrombus and histological examination revealed that the embolus consisted of fibrin and erythrocyte-rich thrombus. Thrombus formation in a pulmonary vein stump after lung resection may be an embolic source of AIS. Mechanical thrombectomy and anticoagulation is effective for the treatment of this pathology. |
format | Online Article Text |
id | pubmed-6350028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-63500282019-01-30 Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report Sonobe, Shinya Yoshida, Masahiro Niizuma, Kuniyasu Tominaga, Teiji NMC Case Rep J Case Report Pulmonary vein thrombosis is a rare disease but can cause severe complications. However, pathophysiology of this entity is not fully understood. We report a case of mechanical thrombectomy for acute ischemic stroke arising from thrombus of the left superior pulmonary vein stump after left pneumonectomy. A 67-year-old male without atrial fibrillation presented with middle cerebral artery occlusion 11 days after left pneumonectomy. Contrast-enhanced computed tomography showed thrombus in the left superior pulmonary vein stump. He received mechanical thrombectomy and had a good postoperative course. The retrieved embolus was macroscopically red thrombus and histological examination revealed that the embolus consisted of fibrin and erythrocyte-rich thrombus. Thrombus formation in a pulmonary vein stump after lung resection may be an embolic source of AIS. Mechanical thrombectomy and anticoagulation is effective for the treatment of this pathology. The Japan Neurosurgical Society 2018-12-18 /pmc/articles/PMC6350028/ /pubmed/30701150 http://dx.doi.org/10.2176/nmccrj.cr.2018-0163 Text en © 2019 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Case Report Sonobe, Shinya Yoshida, Masahiro Niizuma, Kuniyasu Tominaga, Teiji Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title | Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title_full | Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title_fullStr | Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title_full_unstemmed | Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title_short | Mechanical Thrombectomy for Acute Ischemic Stroke Arising from Thrombus of the Left Superior Pulmonary Vein Stump after Left Pneumonectomy: A Case Report |
title_sort | mechanical thrombectomy for acute ischemic stroke arising from thrombus of the left superior pulmonary vein stump after left pneumonectomy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350028/ https://www.ncbi.nlm.nih.gov/pubmed/30701150 http://dx.doi.org/10.2176/nmccrj.cr.2018-0163 |
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