著者

Genki Usui Yohei Takayama Hirotsugu Hashimoto Takehiro Katano Masahiro Yanagiya Masashi Kusakabe Tamaki Miura Jun Matsumoto Hajime Horiuchi Seiji Okubo

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.1962-18, (Released:2018-12-18)

参考文献数

19

被引用文献数

17

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Postoperative cerebral embolism after left upper lobectomy caused by a thrombus in the pulmonary vein stump (PVS) is a serious complication. However, it is unclear if cerebral embolism can develop after other types of lobectomy. We present a case of a 68-year-old man with cerebral embolism after left lower lobectomy with a longer PVS than normal. There were no clinically suspected sources for the thrombus except for the PVS. This thrombus seemed to have formed in the PVS. The endovascularly removed thrombus contained scattered nuclear debris around neutrophils, suggesting a physiological response caused by tissue injury.