Left superior pulmonary venous thrombosis complicated with splenic infarction after video-assisted thoracoscopic left upper lobectomy

Harada, Ryoichi; Yunoki, Kei; Sugiyama, Hiroki; Yamamoto, Hiroyuki; Kondo, Jun; Watanabe, Kazuhiko; Kawai, Hiroki; Hoshika, Minori; Tsushima, Sho; Fushimi, Takuro; Ito, Hiroshi; Kataoka, Masafumi

doi:10.1016/j.jccase.2017.03.003

Cited by 6 publications

(2 citation statements)

References 8 publications

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“… 10 A patient with small cell LC who underwent thoracoscopic left upper lobectomy experienced epigastric abdominal pain and vomiting 16 days later and then received a diagnosis of propagation of thrombus in the stump of the left superior pulmonary vein complicated with splenic infarction as shown by contrast-enhanced computed tomography (CT). 11 Additionally, Kitajima et al 12 reported a case of acute cerebral infarction due to stasis of blood flow in the left upper pulmonary vein stump around 30 h after the left upper lobectomy. Thrombosis is often implicated in poor outcomes.…”

Section: Introductionmentioning

confidence: 99%

Risk Factor Analysis of Postoperative Venous Thromboembolism in Patients After Thoracoscopic Lobectomy

Qiao

Jiang

2023

Clin Appl Thromb Hemost

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Objective To analyze independent risk factors for postoperative venous thromboembolism (VTE) in patients after thoracoscopic lobectomy and establish a risk model for predicting thrombosis. Methods We selected 135 patients who underwent thoracoscopic lobectomy and assigned them to a VTE group ( n = 31) and a non-VTE group ( n = 104) according to the presence or absence of postoperative VTE. Univariate and multivariate logistic regression models were built to identify independent risk factors for postoperative thrombosis. A nomogram to predict the risk of thrombosis was generated, with the predictive performance of the model being evaluated by plotting calibration curve and the receiver operating characteristic (ROC) curve. Results D-dimer on the first postoperative day and Caprini scores were independent high-risk factors for VTE after thoracoscopic lobectomy as revealed by univariate and multivariate logistic regression analyses ( p < .05). The nomogram was evaluated, and the fitting degree of calibration curve indicated good accuracy of the model in predicting thrombosis. The area under the curve (AUC) value was 0.8654, suggesting favorable diagnostic efficacy of the model. Conclusion The D-dimer on the first postoperative day and Caprini scores were independent risk factors for VTE after thoracoscopic lobectomy. The nomogram that was generated to predict the risk of thrombosis had good accuracy and diagnostic efficacy, which can guide individual risk assessment and management decisions in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Risk Factor Analysis of Postoperative Venous Thromboembolism in Patients After Thoracoscopic Lobectomy

Qiao

Jiang

2023

Clin Appl Thromb Hemost

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“…Various vital organs, such as the kidney, intestine, and spleen, are reported to be the target sites of embolism with PV stump thrombosis [ 3 – 5 ]. One case of acute limb ischemia possibly caused by PV stump thrombosis was reported in 1989, and three cases were reported in 2018, all of which were after LUL or left upper division segmentectomy [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Background Cases of systemic thromboembolism due to thrombus formation in the pulmonary vein stump after lobectomy have been reported recently. Cerebral infarction after left upper lobectomy is a common symptom in these cases. We encountered a rare case of acute limb ischemia caused by a thrombus formed in the left inferior pulmonary vein stump after left lower lobectomy. Case presentation A 62-year-old man underwent video-assisted left lower lobectomy under general anesthesia with epidural anesthesia. On postoperative day 2, he suddenly developed pain in the left calf. Contrast-enhanced computed tomography showed left popliteal artery occlusion and thrombus formation in the left inferior pulmonary vein stump. Anticoagulant therapy was started immediately, and emergent endovascular thrombectomy was performed. The patient recovered without complications. Conclusions Left lower lobectomy can cause thrombus formation in the pulmonary vein stump, leading to systemic thromboembolism. Early detection and treatment are the keys to minimize complications.

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Pulmonary vein stump thrombosis and organ infarction after lung lobectomy

Sawa,

Saeyup,

Kinoshita

et al. 2024

J Anesth

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Left superior pulmonary venous thrombosis complicated with splenic infarction after video-assisted thoracoscopic left upper lobectomy

Cited by 6 publications

References 8 publications

Risk Factor Analysis of Postoperative Venous Thromboembolism in Patients After Thoracoscopic Lobectomy

Risk Factor Analysis of Postoperative Venous Thromboembolism in Patients After Thoracoscopic Lobectomy

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

Pulmonary vein stump thrombosis and organ infarction after lung lobectomy

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