A case of cerebral infarction due to aplastic or twig-like middle cerebral artery after lung cancer surgery

被引：0

作者：

Hato, Tai ^{[1
]}

Yamaguchi, Masatoshi ^{[1
]}

Sugiyama, Ato ^{[1
]}

Aoki, Kohei ^{[1
]}

Fukuda, Hiroki ^{[1
]}

Kohno, Mitsutomo ^{[1
]}

Nakayama, Mitsuo ^{[1
]}

机构：

[1] Saitama Med Univ, Saitama Med Ctr, Dept Gen Thorac Surg, Kawagoe, Saitama 3508550, Japan

来源：

JOURNAL OF SURGICAL CASE REPORTS | 2022年 / 2022卷 / 09期

关键词：

ANEURYSMS; ANOMALIES;

D O I：

10.1093/jscr/rjac430

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Aplastic/twig-like middle cerebral artery is a rare vascular abnormality. We report a case of postoperative cerebral infarction caused by this disease. The patient is a male in his 40s. A 9-cm tumour was revealed to have invaded the superior vena cava from his right lung. He underwent right upper and middle bilobectomy. Due to the vascular invasion, the intraoperative bleeding exceeded 2 litres. Mechanical ventilation was required for postoperative pneumonia. After extubation, he was unable to write and was found to have cerebral infiltration in the left middle cerebral artery region. The cause of the cerebral infarction was investigated, but no thrombus in the left atrium or arteriosclerosis was found. No atrial fibrillation was observed during or after the surgery. Magnetic resonance angiography of the brain revealed an aplastic/twig-like middle cerebral artery.

引用

页数：3

共 10 条

[1] Stroke After Adenotonsillectomy in Patients With Undiagnosed Moyamoya Syndrome [J].

Ahn, Annie K. ;

Honeybrook, Adam ;

Jordan, Lori C. ;

Singer, Robert J. ;

Tylor, Dale A. .

JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2014, 140 (11) :1061-1064

[2] Unfused or twig-like middle cerebral artery [J].

Akkan, Koray ;

Ucar, Murat ;

Kilic, Koray ;

Celtikci, Emrah ;

Ilgit, Erhan ;

Onal, Baran .

EUROPEAN JOURNAL OF RADIOLOGY, 2015, 84 (10) :2013-2018

[3] Aneurysms in twig-like middle cerebral artery [J].

Liu, HM ;

Lai, DM ;

Tu, YK ;

Wang, YH .

CEREBROVASCULAR DISEASES, 2005, 20 (01) :1-5

[4] Frequency of cerebral infarction after pulmonary resection: a multicenter, retrospective study in Japan [J].

Matsumoto, Keitaro ;

Sato, Shuntaro ;

Okumura, Meinoshin ;

Niwa, Hiroshi ;

Hida, Yasuhiro ;

Kaga, Kichizo ;

Date, Hiroshi ;

Nakajima, Jun ;

Usuda, Jitsuo ;

Suzuki, Makoto ;

Souma, Takahiro ;

Tsuchida, Masanori ;

Miyata, Yoshihiro ;

Nagayasu, Takeshi .

SURGERY TODAY, 2018, 48 (05) :571-572

[5] Twig-like middle cerebral arteries: Clinical and radiological findings [J].

Onoue, Keita ;

Nguyen, Thanh N. ;

Mian, Asim ;

Dasenbrock, Hormuzdiyar ;

Bedi, Harprit ;

Abdalkader, Mohamad .

CLINICAL IMAGING, 2021, 73 :31-37

[6] Twig-like middle cerebral artery: Embryological persistence or secondary consequences? Comment [J].

Ota, Takahiro ;

Komiyama, Masaki .

INTERVENTIONAL NEURORADIOLOGY, 2021, 27 (04) :584-587

[7] Clinical and Radiological Features of Patients With Aplastic or Twiglike Middle Cerebral Arteries [J].

Seo, Byung-Sun ;

Lee, Yoon-Soo ;

Lee, Hyuk-Gee ;

Lee, Jeong-Ho ;

Ryu, Kee-Young ;

Kang, Dong-Gee .

NEUROSURGERY, 2012, 70 (06) :1472-1480

[8] Flow-related intracranial aneurysms associated with unfused arterial twigs relevant to different vascular anomalies: embryologic and hemodynamic considerations [J].

Shin, Hee Sup ;

Lee, Seung Hwan ;

Ryu, Chang-Woo ;

Koh, Jun Seok .

ACTA NEUROCHIRURGICA, 2014, 156 (09) :1637-1646

[9] Anomalies of the Middle Cerebral Artery [J].

Uchiyama, Naoyuki .

NEUROLOGIA MEDICO-CHIRURGICA, 2017, 57 (06) :261-266

[10] Left Upper Lobectomy for Lung Cancer as a Risk Factor for Cerebral Infarction: A Systematic Review and Meta-Analysis [J].

Wankhede, Durgesh ;

Grover, Sandeep ;

Awendila, Lindila .

LUNG, 2021, 199 (05) :535-547

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