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

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 f...

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Autores principales: Fujimoto, Yuri, Hamachi, Ryosuke, Motoyama, Yoshimasa, Kanna, Etsuko, Murakami, Masako, Matsukado, Takako, Saito, Genkichi, Yamaura, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788143/
https://www.ncbi.nlm.nih.gov/pubmed/33404868
http://dx.doi.org/10.1186/s40981-020-00407-7
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author Fujimoto, Yuri
Hamachi, Ryosuke
Motoyama, Yoshimasa
Kanna, Etsuko
Murakami, Masako
Matsukado, Takako
Saito, Genkichi
Yamaura, Ken
author_facet Fujimoto, Yuri
Hamachi, Ryosuke
Motoyama, Yoshimasa
Kanna, Etsuko
Murakami, Masako
Matsukado, Takako
Saito, Genkichi
Yamaura, Ken
author_sort Fujimoto, Yuri
collection PubMed
description 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.
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spelling pubmed-77881432021-01-14 Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report Fujimoto, Yuri Hamachi, Ryosuke Motoyama, Yoshimasa Kanna, Etsuko Murakami, Masako Matsukado, Takako Saito, Genkichi Yamaura, Ken JA Clin Rep Case Report 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. Springer Berlin Heidelberg 2021-01-06 /pmc/articles/PMC7788143/ /pubmed/33404868 http://dx.doi.org/10.1186/s40981-020-00407-7 Text en © The Author(s) 2021 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/.
spellingShingle Case Report
Fujimoto, Yuri
Hamachi, Ryosuke
Motoyama, Yoshimasa
Kanna, Etsuko
Murakami, Masako
Matsukado, Takako
Saito, Genkichi
Yamaura, Ken
Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title_full Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title_fullStr Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title_full_unstemmed Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title_short Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
title_sort acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788143/
https://www.ncbi.nlm.nih.gov/pubmed/33404868
http://dx.doi.org/10.1186/s40981-020-00407-7
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