論文種別	原著(症例報告除く)
言語種別
査読の有無	査読あり
表題	Internal carotid bulb occlusion by a giant thrombus after thoracoscopic left upper lung lobectomy successfully treated with endovascular stenting: a case report
掲載誌名	正式名：General Thoracic and Cardiovascular Surgery Cases ISSNコード：2731-6203
出版社	Springer Science and Business Media LLC
巻・号・頁	2(1)
著者・共著者	Tomohito Saito,Takenobu Kunieda,Yasumasa Hashimoto,Mitsuaki Ishida,Natsumi Maru,Takahiro Utsumi,Hiroshi Matsui,Yohei Taniguchi,Haruaki Hino,Tomohiro Murakawa
発行年月	2023/11/28
概要	Abstract Background Perioperative acute ischemic stroke following lung resection is relatively rare, though a devastating complication. Specifically, patients undergoing left upper lung lobectomy for lung cancer are likely to develop perioperative acute ischemic stroke. Case presentation A 67-year-old man underwent thoracoscopic left upper lung lobectomy for lung adenocarcinoma; he experienced sudden-onset left hemiparesis and dysarthria on the morning of the second postoperative day. Angiography revealed occlusion of the bulbs of the right internal and external carotid arteries by a giant thrombus, which could not be removed through endovascular thrombectomy. We deployed a stent at the right carotid bifurcation to foist the giant thrombus, achieving revascularization 4 h after the onset. Treatment response was assessed as good improvement with a modified Rankin scale score of 0, and the patient was discharged home 19 days after symptom onset. Conclusions We present a unique case of carotid bulb thromboembolism resulting from a giant thrombus following thoracoscopic left upper lung lobectomy, for which endovascular stenting was effective.
DOI	10.1186/s44215-023-00116-4
PermalinkURL	https://link.springer.com/content/pdf/10.1186/s44215-023-00116-4.pdf
researchmap用URL	https://link.springer.com/article/10.1186/s44215-023-00116-4/fulltext.html