2004
DOI: 10.1016/s0003-4975(03)01143-3
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Peripheral arterial embolism arising from pulmonary adenocarcinoma

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Cited by 20 publications
(14 citation statements)
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“…Infarction results when the tumor fragment is large enough to occlude the tissue's arterial perfusion. Most tumor emboli occur during surgery; a few occur in the early postoperative period (8)(9)(10)(11)(12). The delayed occurrence of these emboli may be due to tumor fragments that remain loosely adhered to the site of pulmonary vein ligation and then embolize after surgery with coughing or other movement, or perhaps emboli are temporarily detained in the left ventricular trabeculations or chordae tendineae (1,2).…”
Section: Discussionmentioning
confidence: 99%
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“…Infarction results when the tumor fragment is large enough to occlude the tissue's arterial perfusion. Most tumor emboli occur during surgery; a few occur in the early postoperative period (8)(9)(10)(11)(12). The delayed occurrence of these emboli may be due to tumor fragments that remain loosely adhered to the site of pulmonary vein ligation and then embolize after surgery with coughing or other movement, or perhaps emboli are temporarily detained in the left ventricular trabeculations or chordae tendineae (1,2).…”
Section: Discussionmentioning
confidence: 99%
“…Immediate diagnosis of an arterial embolism is very critical and immediate intervention is required to restore circulation and to avoid tissue necrosis. Routine two dimensional or transesophageal echocardiography may be useful in diagnosing large and centrally located intracardiac tumors (8). This is a unique case with a metastatic mass invading the left ventricle and the source of peripheral embolism.…”
Section: Discussionmentioning
confidence: 99%
“…Venous thrombosis is a frequent complication of malignancy; however, acute arterial occlusion secondary to malignant (non-myxomatous) tumor embolism is a rare event [7]. Venous tumor emboli most often present with symptoms of pulmonary embolism and/or infarction [8].…”
Section: Discussionmentioning
confidence: 99%
“…Once an embolism has been identified, an embolectomy should be emergently performed, and anticoagulation and vasodilators started [7]. In our case, the patient also required bilateral fasciotomies to treat revascularization compartment syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…The latter is of largely unknown origin and is responsible for about 10% of cancer-related thromboembolisms [8, 9]. Additionally, catecholamine independent arterial vasospasm leading to limb ischemia has been recently reported in a patient with well-differentiated pulmonary neuroendocrine carcinoma [10].…”
Section: Introductionmentioning
confidence: 99%