关键词: Cerebral embolism endovascular thrombectomy pain control pulmonary lobectomy pulmonary vein stump

Mesh : Cerebral Angiography Computed Tomography Angiography Diffusion Magnetic Resonance Imaging Humans Intracranial Embolism / diagnostic imaging etiology surgery Male Middle Aged Phlebography / methods Pneumonectomy / adverse effects methods Pulmonary Veins / diagnostic imaging surgery Thoracic Surgery, Video-Assisted / adverse effects Thrombectomy Time Factors Treatment Outcome

来  源:   DOI:10.1016/j.jstrokecerebrovasdis.2019.06.001   PDF(Sci-hub)

Abstract:
Postoperative cerebral embolism after left upper or lower lobectomy caused by the thrombus in the pulmonary vein stump (PVS) is a rare complication. However, it is still unclear how the cerebral embolism develop after lobectomy, and how can we prevent further embolism after thrombus removal. We present a case of a 55-year-old man without cardiovascular disease history suffering cerebral embolism 2 days after left upper lobectomy. Patient underwent endovascular thrombectomy and discharged hospital 10 days later with proper recovery. No thrombus was detected in an enhanced pulmonary CT after 1 month of aspirin intake, but the length of PVS was measured.
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