Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report

BACKGROUND: Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy. CASE PRESENTATION: We experienced a case of a 37-year-old man who demonstrated early symptom of acute i...

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Autores principales: Chen, Peirui, Qing, Qiusha, Diao, Mingqiang, Sun, Xiaokang, Yang, Junrong, Lv, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737305/
https://www.ncbi.nlm.nih.gov/pubmed/33317588
http://dx.doi.org/10.1186/s13019-020-01378-7
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author Chen, Peirui
Qing, Qiusha
Diao, Mingqiang
Sun, Xiaokang
Yang, Junrong
Lv, Jing
author_facet Chen, Peirui
Qing, Qiusha
Diao, Mingqiang
Sun, Xiaokang
Yang, Junrong
Lv, Jing
author_sort Chen, Peirui
collection PubMed
description BACKGROUND: Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy. CASE PRESENTATION: We experienced a case of a 37-year-old man who demonstrated early symptom of acute ischemic stroke in early postoperative period after right upper posterior segmentectomy and performed intra-arterial mechanical thrombectomy (IAMT) successfully. CONCLUSIONS: Long and irregular pulmonary vein stump (PVS) and endothelial injury caused by surgical procedure may lead to cerebral embolism after segmentectomy. We believe that doing preoperative pulmonary vascular assessment and using appropriate surgical procedure may reduce the rate of cerebral embolism.
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spelling pubmed-77373052020-12-17 Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report Chen, Peirui Qing, Qiusha Diao, Mingqiang Sun, Xiaokang Yang, Junrong Lv, Jing J Cardiothorac Surg Case Report BACKGROUND: Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy. CASE PRESENTATION: We experienced a case of a 37-year-old man who demonstrated early symptom of acute ischemic stroke in early postoperative period after right upper posterior segmentectomy and performed intra-arterial mechanical thrombectomy (IAMT) successfully. CONCLUSIONS: Long and irregular pulmonary vein stump (PVS) and endothelial injury caused by surgical procedure may lead to cerebral embolism after segmentectomy. We believe that doing preoperative pulmonary vascular assessment and using appropriate surgical procedure may reduce the rate of cerebral embolism. BioMed Central 2020-12-14 /pmc/articles/PMC7737305/ /pubmed/33317588 http://dx.doi.org/10.1186/s13019-020-01378-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Chen, Peirui
Qing, Qiusha
Diao, Mingqiang
Sun, Xiaokang
Yang, Junrong
Lv, Jing
Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title_full Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title_fullStr Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title_full_unstemmed Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title_short Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
title_sort surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737305/
https://www.ncbi.nlm.nih.gov/pubmed/33317588
http://dx.doi.org/10.1186/s13019-020-01378-7
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