Key result
Emergent ADAPT thrombectomy achieves complete recanalization in 31 minutes in a post-lobectomy stroke patient.
Population
A man in his 70s after VATS left lower lobectomy for lung cancer
Design
Case report
Authors
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Hiatal hernia compression may cause pulmonary vein thrombosis and cerebral embolism post-lobectomy despite short stump; leaves open need for confirmatory studies.
Case Report (n=1)
No
Effect estimate: TICI 3 recanalization with single pass
Even an anatomically short pulmonary vein stump after left lower lobectomy can develop severe thrombosis leading to cerebral embolism if subjected to external mechanical compression from an exacerbated hiatal hernia.
Shono et al. (2026) conducted a case report in Acute cerebral infarction after left lower lobectomy (n=1). Emergent mechanical thrombectomy using direct aspiration first-pass technique (ADAPT) was evaluated on Recanalization of left middle cerebral artery (M1 segment) occlusion with clinical neurological improvement (TICI 3 recanalization with single pass). Emergent mechanical thrombectomy using ADAPT achieved complete recanalization (TICI 3) in 31 minutes with dramatic neurological improvement in a patient with cerebral infarction after left lower lobectomy.
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