A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery

Aplastic/twig-like middle cerebral artery is a rare vascular abnormality. We report a case of postoperative cerebral infarction caused by this disease. The patient is a male in his 40s. A 9-cm tumour was revealed to have invaded the superior vena cava from his right lung. He underwent right upper an...

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Autores principales: Hato, Tai, Yamaguchi, Masatoshi, Sugiyama, Ato, Aoki, Kohei, Fukuda, Hiroki, Kohno, Mitsutomo, Nakayama, Mitsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491863/
https://www.ncbi.nlm.nih.gov/pubmed/36158252
http://dx.doi.org/10.1093/jscr/rjac430
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author Hato, Tai
Yamaguchi, Masatoshi
Sugiyama, Ato
Aoki, Kohei
Fukuda, Hiroki
Kohno, Mitsutomo
Nakayama, Mitsuo
author_facet Hato, Tai
Yamaguchi, Masatoshi
Sugiyama, Ato
Aoki, Kohei
Fukuda, Hiroki
Kohno, Mitsutomo
Nakayama, Mitsuo
author_sort Hato, Tai
collection PubMed
description Aplastic/twig-like middle cerebral artery is a rare vascular abnormality. We report a case of postoperative cerebral infarction caused by this disease. The patient is a male in his 40s. A 9-cm tumour was revealed to have invaded the superior vena cava from his right lung. He underwent right upper and middle bilobectomy. Due to the vascular invasion, the intraoperative bleeding exceeded 2 litres. Mechanical ventilation was required for postoperative pneumonia. After extubation, he was unable to write and was found to have cerebral infiltration in the left middle cerebral artery region. The cause of the cerebral infarction was investigated, but no thrombus in the left atrium or arteriosclerosis was found. No atrial fibrillation was observed during or after the surgery. Magnetic resonance angiography of the brain revealed an aplastic/twig-like middle cerebral artery.
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spelling pubmed-94918632022-09-22 A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery Hato, Tai Yamaguchi, Masatoshi Sugiyama, Ato Aoki, Kohei Fukuda, Hiroki Kohno, Mitsutomo Nakayama, Mitsuo J Surg Case Rep Case Report Aplastic/twig-like middle cerebral artery is a rare vascular abnormality. We report a case of postoperative cerebral infarction caused by this disease. The patient is a male in his 40s. A 9-cm tumour was revealed to have invaded the superior vena cava from his right lung. He underwent right upper and middle bilobectomy. Due to the vascular invasion, the intraoperative bleeding exceeded 2 litres. Mechanical ventilation was required for postoperative pneumonia. After extubation, he was unable to write and was found to have cerebral infiltration in the left middle cerebral artery region. The cause of the cerebral infarction was investigated, but no thrombus in the left atrium or arteriosclerosis was found. No atrial fibrillation was observed during or after the surgery. Magnetic resonance angiography of the brain revealed an aplastic/twig-like middle cerebral artery. Oxford University Press 2022-09-20 /pmc/articles/PMC9491863/ /pubmed/36158252 http://dx.doi.org/10.1093/jscr/rjac430 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Hato, Tai
Yamaguchi, Masatoshi
Sugiyama, Ato
Aoki, Kohei
Fukuda, Hiroki
Kohno, Mitsutomo
Nakayama, Mitsuo
A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title_full A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title_fullStr A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title_full_unstemmed A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title_short A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
title_sort case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491863/
https://www.ncbi.nlm.nih.gov/pubmed/36158252
http://dx.doi.org/10.1093/jscr/rjac430
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