title: Surgical removal of extensive left pulmonary vein stump thrombus after pulmonary lobectomy: a rare cause of acute cerebral embolism.
abstract: A 46-year-old woman presented with loss of consciousness and was diagnosed with acute cerebral embolism. She had undergone left upper lobectomy for primary lung cancer 6 months before this event. Transesophageal echocardiography and computed tomography showed a large mobile thrombus in the left upper pulmonary vein (LSPV). An emergent operation was performed through a median sternotomy. Cardiopulmonary bypass was performed and the heart was arrested, and the LSPV was incised. A fresh thrombus had formed in the stump of the LSPV and was removed successfully. The postoperative course was uneventful. During a 1 year of follow-up, there was no recurrence of the thrombus.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: s-ohira@koto.kpu-m.ac.jp.
authors.forename: Suguru
authors.initials: S
authors.lastname: Ohira
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Doi
authors.forename: Kazunari
authors.initials: K
authors.lastname: Okawa
authors.forename: Takuya
authors.initials: T
authors.lastname: Matsushiro
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
mesh_terms: D000208:Acute Disease; D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008175:Lung Neoplasms / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011667:Pulmonary Veins / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy / Q000379:methods; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin
keywords: 10