Acute Proximal Anterior Circulation Occlusion after Pulmonary Lobectomy Treated by Endovascular Therapy: Two Case Reports

Noritaka Masahira; Tsuyoshi Ohta; Takaya Tsuno; Kenji Okada; Maki Fukuda; Yusuke Ueba; Toshiki Matsuoka; Mitsuhiro Takemura; Shota Nishimoto; Taku Okamoto

doi:10.5797/jnet.cr.2019-0067

This article has now been updated. Please use the final version.

Acute Proximal Anterior Circulation Occlusion after Pulmonary Lobectomy Treated by Endovascular Therapy: Two Case Reports

Noritaka Masahira, Tsuyoshi Ohta, Takaya Tsuno, Kenji Okada, Maki Fukuda, Yusuke Ueba, Toshiki Matsuoka, Mitsuhiro Takemura, Shota Nishimoto, Taku Okamoto

Author information

Keywords: anterior circulation large vessel occlusion, embolism, mechanical thrombectomy, pulmonary lobectomy, perioperative period

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.2019-0067

DOI https://doi.org/10.5797/jnet.cr.2019-0067

The final version of this article is now available: Vol. 14 (2020), No. 4 pp. 141-145

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Abstract

Objective: We report two cases of acute proximal anterior circulation occlusion after pulmonary lobectomy.

Case Presentation: Case 1 was a 64-year-old male who presented with occlusion of the right middle cerebral artery (MCA) one day after left lower lobectomy. Case 2 was a 68-year-old male who presented with occlusion of the right internal carotid artery (ICA). In both cases, mechanical thrombectomy was performed for complete recanalization and symptoms were improved.

Conclusion: Prompt mechanical thrombectomy in the acute phase after pulmonary lobectomy improved the prognosis of patients with acute proximal anterior circulation occlusion. It is important to share information about ischemic complications with medical staff engaged in thoracic surgery.

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