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January 6, 2021JA Clinical ReportsOpen Access

Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report

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Why the study?

Systemic thromboembolism from pulmonary vein stump thrombus usually presents as cerebral infarction after left upper lobectomy, making acute limb ischemia after left lower lobectomy a rare presentation to document.

Population

A 62-year-old man after video-assisted left lower lobectomy

Design

Case report

Authors

YFYuri FujimotoRHRyosuke HamachiYMYoshimasa Motoyama

Discussion

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Overview

May warrant vigilance for embolic limb ischemia after LLL; extends PV-stump risk beyond LUL and leaves prophylaxis unestablished.

Structured PICO

P
Population
A 62-year-old man with lung carcinoma who underwent video-assisted left lower lobectomy.
I
Intervention
Video-assisted left lower lobectomy followed by emergent endovascular thrombectomy and anticoagulant therapy for complication.
O
Outcome
Acute limb ischemia caused by left inferior pulmonary vein stump thrombus.

Left lower lobectomy can cause thrombus formation in the pulmonary vein stump, leading to systemic thromboembolism such as acute limb ischemia.

Cite This Study

Fujimoto et al. (2021) studied this question.

synapsesocial.com/papers/6a7fe5ef2e9fdc243450288chttps://doi.org/10.1186/s40981-020-00407-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute limb ischemia of the lower extremity associated with left upper lobe surgery for primary lung cancer2018 · 6 citations
  2. 2Thrombus Formation in the Pulmonary Vein Stump after Left Upper Lobectomy: A Report of Four Cases2013 · 44 citations
  3. 3Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump2014 · 86 citations
  4. 4Cerebral Embolism Caused by Thrombus in the Pulmonary Vein Stump after Left Lower Lobectomy: A Case Report and Literature Review2018 · 27 citations
  5. 5Cerebral Embolism Caused by Pulmonary Vein Stump Compression Due to Postoperative Exacerbation of Hiatal Hernia After Left Lower Lobectomy: A Case Report2026