P03 Acute Limb Ischaemia Following Elective Left Upper Lobectomy For Early NSCLC: a Rare But Serious Complication Arising From the Pulmonary Vein Stump

2021 ◽  
Vol 30 ◽  
pp. S33-S34
Author(s):  
J. Elliott ◽  
A. Iyer
Keyword(s):  
Pulmonary Vein ◽  
Limb Ischaemia ◽  
Left Upper Lobectomy ◽  
Acute Limb Ischaemia ◽  
Pulmonary Vein Stump

Acute Limb Ischaemia Following Elective Left Upper Lobectomy for Early NSCLC: A Rare but Serious Complication Arising from the Pulmonary Vein Stump

2020 ◽  
pp. 1-2
Author(s):  
James Elliott ◽  
Anand Iyer ◽  
James Elliott
Keyword(s):  
Pulmonary Vein ◽  
Ct Angiography ◽  
Mediastinal Lymph Node ◽  
Case Reports ◽  
Common Femoral Artery ◽  
Sudden Onset ◽  
Leg Pain ◽  
Limb Ischaemia ◽  
Left Upper Lobectomy ◽  
Acute Limb Ischaemia

Patients undergoing Left Upper Lobectomy (LUL) appear to be at risk of a unique post-operative complication that is not well-documented: Pulmonary Vein (PV) stump thrombosis +/- systemic arterial embolisation [1-3]. We describe the details of a rare case from our institution, present a review of this subject from the limited literature available, and suggest potential strategies to anticipate, detect and manage this entity. A 70 year old female patient underwent left upper lobectomy and mediastinal lymph node sampling via repeat left thoracotomy. The procedure was unremarkable apart from some adhesions. She progressed well post-operatively on the ward. On post-operative day 2 the patient developed sudden-onset left leg pain and paraesthesia and CT-Angiography confirmed the diagnosis of left common femoral artery embolus and left superior PV stump thrombosis. The patient returned to theatre for femoral embolectomy, continued systemic anticoagulation, and made an excellent recovery thereafter. The aetiology of this complication has been documented in some case reports, but it is not explored further in trials or thoracic surgery texts [2-3]. One cohort study involving CT-angiography after lobectomy surgeries found that left upper lobectomy was unique as a risk factor for PV stump thrombosis1. It may be related to the relatively longer LSPV stump and stasis of blood in the stump [4].

scholarly journals Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Kazuto Ohtaka ◽  
Yasuhiro Hida ◽  
Kichizo Kaga ◽  
Yasuhiro Takahashi ◽  
Hiroshi Kawase ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pulmonary Vein ◽  
Left Upper Lobectomy ◽  
Pulmonary Vein Stump

scholarly journals A case of pulmonary vein stump thrombosis and spinal cord infarction following left upper lobectomy

2019 ◽  
Vol 33 (5) ◽  
pp. 544-548
Author(s):  
Maki Oh ◽  
Shohei Mori ◽  
Hideki Matsudaira ◽  
Makoto Odaka ◽  
Takashi Ohtsuka
Keyword(s):  
Spinal Cord ◽  
Pulmonary Vein ◽  
Spinal Cord Infarction ◽  
Left Upper Lobectomy ◽  
Pulmonary Vein Stump

scholarly journals P3.04-004 The Risk Factor of the Thrombus Formation in Pulmonary Vein Stump after Left Upper Lobectomy for Lung Cancer

2017 ◽  
Vol 12 (1) ◽  
pp. S1386-S1387 ◽  
Author(s):  
Reiko Shimizu ◽  
Shoko Hayashi ◽  
Kiyomichi Mizuno ◽  
Yoshiyuki Yasuura ◽  
Hiroyuki Kayata ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Risk Factor ◽  
Pulmonary Vein ◽  
Thrombus Formation ◽  
Left Upper Lobectomy ◽  
Pulmonary Vein Stump
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