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Korean J Crit Care Med > Volume 28(3); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(3): 180-183. doi: https://doi.org/10.4266/kjccm.2013.28.3.180
폐암 환자의 폐엽 절제 후 발생한 악성 허혈성 뇌졸중
분당서울대학교병원 마취통증의학과, *서울대학교 의과대학 마취통증의학교실, †분당서울대학교병원 흉부외과
Malignant Cerebral Infarction after Pulmonary Resection for Lung Cancer
In Ae Song, Sang Min Jung, Dong Jin Kim, Sang Heon Park
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. psh1399@snubh.org
2Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
3Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Malignant cerebral infarction as postoperative complication after pulmonary resection occurs rarely, but can be rather serious. We report a case of 81-year-old man who suffered from malignant cerebral infarctions after pulmonary resection for lung cancer. He had a history of well-controlled hypertensions, but no evidences of arrhythmia, and neither stenosis nor atheroma in the carotid arteries and intracranial arteries. There were no specific events during his operation except that an inadvertent left carotid artery puncture occurred during the central line insertion. In intensive care unit (ICU), he had a delayed recovery of consciousness and dysarthria with right hemiplegia. Computed tomography revealed malignant middle cerebral infarctions due to the occlusion of left middle cerebral artery. It could be the thromboembolism due to pulmonary resections or carotid artery punctures in the patient without high risk factors.
Key Words: lobectomy; malignant cerebral infarction; postoperative stroke
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