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September 19, 2026Journal of Surgical Case ReportsOpen Access

Emergency Fogarty thrombectomy restores arterial perfusion with no recurrent embolism at 3 months.

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Population

A 63-year-old woman who underwent thoracoscopic left upper division segmentectomy for lung adenocarcinoma…

Design

Case_report

Follow-up

3 months

Key result

Emergency thrombectomy using a Fogarty catheter restored arterial perfusion ~4 hours after symptom onset, with no recurrent embolism or bleeding during 3 months of follow-up.

Authors

STSotaro TakemuraTSTaiki SatoKSKazuki Sato

Discussion

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Overview

Supports consideration of Fogarty thrombectomy for post-resection limb ischemia; leaves open incidence, prevention, and anticoagulation strategies.

Key Points

  • To describe the presentation, diagnosis, and management of acute brachial artery occlusion resulting from suspected pulmonary vein stump thrombosis following anatomical lung resection.
  • Clinical and radiological evaluation of a 63-year-old female presenting with acute right upper-limb ischemia on postoperative day 2 following thoracoscopic left upper division segmentectomy for lung adenocarcinoma.
  • Emergency revascularization using Fogarty catheter thrombectomy followed by therapeutic anticoagulation, with contrast-enhanced computed tomography monitoring at 28 days and 3 months.
  • Emergency catheter thrombectomy restored arterial perfusion to the right upper extremity approximately 4 hours after symptom onset.
  • Contrast-enhanced computed tomography on postoperative day 28 confirmed complete resolution of the pulmonary vein stump filling defect.
  • Follow-up over 3 months demonstrated no recurrence of arterial embolism and no bleeding complications under anticoagulation therapy.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 63-year-old woman who developed acute right brachial artery embolism after thoracoscopic left upper division segmentectomy for lung adenocarcinoma, followed for 3 months.
I
Intervention
Emergency thrombectomy using a Fogarty catheter followed by anticoagulation.
O
Outcome
Restoration of arterial perfusion and resolution of pulmonary vein stump filling defect.hard clinical

Sudden upper-limb symptoms after left upper division segmentectomy should prompt immediate vascular assessment and timely revascularization for suspected systemic arterial embolism.

Limitations

  • The embolic source could not be established.

Cite This Study

Takemura et al. (2026) conducted a case report in Acute right brachial artery embolism (n=1). Emergency thrombectomy using a Fogarty catheter was evaluated on Restoration of arterial perfusion and resolution of filling defect. Emergency thrombectomy using a Fogarty catheter restored arterial perfusion ~4 hours after symptom onset, with no recurrent embolism or bleeding during 3 months of follow-up.

synapsesocial.com/papers/6aae47640c69660b71ecc65bhttps://doi.org/10.1093/jscr/rjag811
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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. 2Successful Endovascular Treatment for Middle Cerebral Artery Occlusion Caused by the Thrombus Formation in the Pulmonary Vein Stump Following Left Upper Lung Lobectomy2021 · 5 citations
  3. 3Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report2021 · 1 citations
  4. 4Acute ischemic stroke after right middle lobectomy with favorable clinical outcome of mechanical thrombectomy: A case report2025
  5. 5Recurrent cerebral attack caused by thrombosis in the pulmonary vein stump in a patient with left upper lobectomy on anticoagulant therapy: case report and literature review2017 · 22 citations