Cerebral infarction After Laparoscopic Right Lung Wedge or Segment Resection: A Report of Four Cases

Fu-Quan Fang, Xian-Hui Kang, Xiao-Hong Wen, Hai-Ying Kong
Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association 2021 January 19, 30 (4): 105615
Several cases have been reported of patients who experienced cerebral infarction following thoracoscope left lobectomy. Compared with right lung surgery, the pulmonary veins stump after left lobe surgery were longer and thrombosis was more likely. Besides, cases of cerebral infarction after right lung surgery are rarely reported. Left lobectomy is therefore considered as the main risk factor for postoperative cerebral infarction. However, here we report four cases of cerebral infarction after thoracoscopic wedge or segment resection of right lobe, which cause less damage to the pulmonary vein compared with lobectomy. Magnetic resonance imaging and computed tomography scan reveal intracranial vascular obstruction and cerebral infarction. The case 1 had a poor prognosis because doctors lacked experience treating such complications. In the case 2, the sequela of cerebral infarction was obvious due to the large cerebral infarction area. Benefiting from timely treatment, the rest recovered better.

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