Acute pulmonary embolism following a right upper lobectomy. A case report.

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  • TSUSHIMA Yukio
    Department of Thoracic Surgery, Yokohama Municipal Citizen's Hospital
  • KASE Masahiro
    Department of Thoracic Surgery, Yokohama Municipal Citizen's Hospital
  • YAMAGATA Tatsushi
    Department of Thoracic Surgery, Yokohama Municipal Citizen's Hospital
  • OKAMOTO Masahiko
    Department of Thoracic Surgery, Yokohama Municipal Citizen's Hospital
  • KURATA Hideshi
    Department of Thoracic Surgery, Yokohama Municipal Citizen's Hospital

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  • 右肺上葉切除後の急性肺塞栓症の１例

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Abstract

We reported a case of acute pulmonary embolism (PE) after a right upper lobectomy for pulmonary cancer. A 59-year-old woman was admitted to the hospital because of primary right lung cancer. Right upper lobectomy and ND2b dissection were performed. Two days after the operation, she developed sudden loss of consciousness and hypoxia. Lung blood flow scintigram showed multiple perfusion defects at the bilateral lung fields. Anticoagulant and thrombolytic therapies were started immediately under a diagnosis of acute PE. The patient's life was successfully saved by these therapies for 7 days. Anticoagulant and thrombolytic therapies are of great value in the treatment of acute PE and intermittent pneumatic compression stockings offer an effective prevention for acute pulmonary embolism.

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