Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Cerebral Embolism Caused by Thrombus in the Pulmonary Vein Stump after Left Lower Lobectomy: A Case Report and Literature Review
Genki Usui, Yohei Takayama, Hirotsugu Hashimoto, Takehiro Katano, Masahiro Yanagiya, Masashi Kusakabe, Tamaki Miura, Jun Matsumoto, Hajime Horiuchi, Seiji Okubo
著者情報
キーワード: stroke, endovascular thrombectomy, lung cancer
ジャーナル オープンアクセス

2019 年 58 巻 9 号 p. 1349-1354

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Cerebral embolism after left upper lobectomy caused by a thrombus in the pulmonary vein stump (PVS) is a serious complication. However, it is unclear if cerebral embolism can develop after other types of lobectomy. We present a case of a 68-year-old man with cerebral embolism after left lower lobectomy with a longer PVS than normal. There were no clinically suspected sources for the thrombus except for the PVS. This thrombus seemed to have formed in the PVS. The endovascularly removed thrombus contained scattered nuclear debris around neutrophils, suggesting a physiological response caused by tissue injury.

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© 2019 by The Japanese Society of Internal Medicine
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Japanese Journal of Medicine

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