Key result
A 59-year-old man undergoing pneumonectomy for squamous cell lung cancer developed rare intraoperative brachial and cerebral embolizations.
Why the study?
Multiple arterial emboli are uncommon complications of pneumonectomy in lung cancer patients despite known hypercoagulability.
Case Report (n=1)
Multiple arterial embolizations are a rare but severe complication during lung cancer surgery that require prompt recognition and treatment.
Rare arterial emboli during pneumonectomy warrant vigilance; single case leaves open optimal preventive strategies.
Hypercoagulability in lung cancer has been well described, but multiple arterial emboli are uncommon complications of pneumonectomy. A 59-year-old man underwent a pneumonectomy for squamous cell lung cancer and an intraoperative brachial artery embolism was diagnosed after an abrupt loss of pulse oximeter signal and arterial line waveforms. A cerebral embolization, manifested as a unilateral motor deficit, was noted during the emergence from anesthesia. We hypothesize that thrombus formation within the pulmonary venous system may have been causative. Anesthesiologists should promptly recognize and treat the rare possibility of multiple arterial embolizations during lung cancer surgery. .
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Jaen et al. (2025) conducted a case report in Squamous cell lung cancer (n=1). Pneumonectomy was evaluated on Intraoperative brachial and cerebral embolization. A 59-year-old man undergoing pneumonectomy for squamous cell lung cancer developed rare intraoperative brachial and cerebral embolizations.
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