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

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Title: Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump
Authors: Ohtaka, Kazuto Browse this author
Hida, Yasuhiro Browse this author →KAKEN DB
Kaga, Kichizo Browse this author →KAKEN DB
Takahashi, Yasuhiro Browse this author
Kawase, Hiroshi Browse this author
Hayama, Satoshi Browse this author
Ichimura, Tatsunosuke Browse this author
Senmaru, Naoto Browse this author
Honma, Naotake Browse this author
Matsui, Yoshiro Browse this author →KAKEN DB
Keywords: Left upper lobectomy
Pulmonary vein stump
Thrombosis
Cerebral infarction
Issue Date: 6-Jan-2014
Publisher: Biomed central ltd
Journal Title: Journal of cardiothoracic surgery
Volume: 9
Issue: 1
Start Page: 5
Publisher DOI: 10.1186/1749-8090-9-5
PMID: 24393449
Abstract: Background: Thrombosis in the left upper pulmonary vein stump after left upper lobectomy is a very rare but important complication because it occurs in the systemic circulation system. We previously made the first ever report on the frequency and risk factors of thrombosis in the pulmonary vein stump after lobectomy. In this study, we conducted an investigation in a different hospital to determine whether this was a common complication. Methods: From 2008 to 2012, 151 patients who underwent lobectomy and following enhanced CT within 2 years after the operation were studied. Postoperative contrast-enhanced CT imaging was retrospectively checked. Results: We found thrombosis in the pulmonary vein stump in 5 of the 151 patients (3.3%). All 5 patients underwent left upper lobectomy (17.9% of the patients who underwent left upper lobectomy). These 5 patients did not have infarction of any vital organ. The thrombus was disappeared several months later on contrast-enhanced CT in 3 patients and followed in 2 patients. On univariate analysis, there was a significant difference only in the operative procedure (p < 0.001). Conclusions: Thrombosis in the pulmonary vein stump occurred with high frequency in patients who underwent left upper lobectomy. Because the frequency of thrombosis in this study was the same as in our previous report, this might be a common complication.
Rights: http://creativecommons.org/licenses/by/2.0/
Type: article
URI: http://hdl.handle.net/2115/55253
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 加賀 基知三

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