Abstract
BackgroundCerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy.Case presentationWe experienced a case of a 37-year-old man who demonstrated early symptom of acute ischemic stroke in early postoperative period after right upper posterior segmentectomy and performed intra-arterial mechanical thrombectomy (IAMT) successfully.ConclusionsLong and irregular pulmonary vein stump (PVS) and endothelial injury caused by surgical procedure may lead to cerebral embolism after segmentectomy. We believe that doing preoperative pulmonary vascular assessment and using appropriate surgical procedure may reduce the rate of cerebral embolism.
Highlights
Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period
Some cases of cerebral embolism associated with lobectomy have been reported so far [1, 3, 4], cerebral embolism caused by a thrombus in the vein stump after right upper posterior segmentectomy has not been reported to our knowledge
Discussion and conclusions lobotomy is still recommended as a standard surgical procedure for lung cancer, segmentectomy that reveal farthest excision of pulmonary tumor and farthest preservation of normal lung tissues, has extended its surgical indications to some early stage lung cancer
Summary
Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. Background Cerebral embolism is an uncommon and serious complication during the early postoperative period after lung cancer surgery [1]. Some cases of cerebral embolism associated with lobectomy have been reported so far [1, 3, 4], cerebral embolism caused by a thrombus in the vein stump after right upper posterior segmentectomy has not been reported to our knowledge. We experienced a case of a patient with cerebral embolism in the first postoperative day, and performed intra-arterial mechanical thrombectomy (IAMT) successfully.
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