Abstract
We report a case of tumor embolism of the lower right extremity after right pneumonectomy. This is an infrequent complication and in most cases occurs during the intraoperative or immediate postoperative period. Our patient underwent surgery for primary pulmonary neoplasia (squamous cell carcinoma) and 4 hours later showed clinical signs of acute arterial occlusion in the lower right extremity. An emergency embolectomy was performed and a thrombus with tumor characteristics was extracted from the right common femoral artery. The pathologic features of this thrombus were identical to those of the pulmonary tumor.
Similar content being viewed by others
References
Senderoff E, Kirschner A. Massive tumor embolism during pulmonary surgery. J Thorac Cardiovasc Surg 1962;44:528–535.
Till AS, Fairburn EA. Massive neoplastic embolism. Br J Surg 1947;35:86–89.
Taber RE. Massive systemic tumor embolization during pneumonectomy. Ann Surg 1961;154:263–268.
Starr DS, Lawrie GM, Morris GC. Unusual presentation of bronchogenic carcinoma. Cancer 1981;47:398–401.
Prioleau PG, Katzenstein ALA. Major peripheral arterial occlusion due to malignant tumor embolism. Cancer 1978;42: 2009–2014.
Aylwin JA. Avoidable vascular spread in resection for bronchial carcinoma. Thorax 1951;6:250–267.
MacMahon H, Forrest JV, Weisz D, et al. Massive tumor embolism occurring during pneumonectomy. Ann Thorac Surg 1974;17:395–397.
Mansour KA, Malone CE, Craver JM. Left atrial tumor embolization during pulmonary resection: Review of literature and report of two cases. Ann Thorac Surg 1988;46:455–456.
Heitmiller RF. Prognostic significance of massive bronchogenic tumor embolus. Arm Thorac Surg 1992;53:153–155.
Author information
Authors and Affiliations
About this article
Cite this article
Gómez, J.R., Vañó, J., Luengo, L. et al. Tumor embolism after pneumonectomy for primary pulmonary neoplasia. Annals of Vascular Surgery 9, 199–203 (1995). https://doi.org/10.1007/BF02139664
Issue Date:
DOI: https://doi.org/10.1007/BF02139664