[Pulmonary thromboembolism after videothoracoscopic excision of a mediastinal tumor; report of a case].
We experienced a case of pulmonary thromboembolism after videothoracoscopic excision of a mediastinal tumor. A 57-year-old woman underwent videothoracoscopic excision of an upper mediastinal tumor, which was pathologically diagnosed as neurilemmoma. On the first postoperative day, she suddenly suffered from fatigue and blood-gas analysis showed hypoxemia. No abnormal shadow was seen on chest X-ray. Lung perfusion scintigram showed multiple embolism. She was treated with anticoagulants and recovered well. We should pay attention to the possibility of pulmonary thromboembolism after video-assisted thoracic surgery as well as thoracotomy, especially when patients have risk factors for pulmonary thromboembolism.
D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009442:Neurilemmoma / Q000601:surgery*; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy
D000925:Anticoagulants