CardioVascular and Interventional Radiology

, Volume 41, Issue 9, pp 1448–1450 | Cite as

Another Case of Erratic Brain Embolism After Particle Embolization for a Giant Intrathoracic Solitary Fibrous Tumor

  • Shoichi Inagawa
  • Tatsuhiko Sato
  • Terumoto Koike
  • Hajime Umezu
Letter to the Editor

To the editor,

In addition to the case reported by Patel et al. [1], we experienced another occurrence of erratic brain embolism after particle embolization for a giant intrathoracic solitary fibrous tumor and would like to give notice anew to all of our colleagues on the risk related to this procedure.

It was in a woman in her early 60s who presented with dyspnea at walking and exercise. No major previous history was noted except a surgical extirpation of myoma uteri and systemic hypertension. CT revealed a giant tumor, which occupied the right thoracic cavity and compressed the right lung with the mediastinum deviated to the left. Needle biopsy brought about a diagnosis of solitary fibrous tumor. Dynamic contrast-enhanced CT showed that the mass was hypervascular (Fig.  1A) and fed by the right lateral thoracic artery and the right internal mammary artery. Surgical removal of the tumor with preoperative embolization on the preceding day was recommended to the patient and her family...


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.


  1. 1.
    Patel SR, Vachhani P, Moeslein F. Embolic brain infarcts: a rare fatal complication of preoperative embolization of a massive solitary fibrous tumor of the pleura. Cardiovasc Interv Radiol. 2017;40(2):306–9. Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Department of Radiology and Radiation OncologyNiigata University Graduate School of Medical and Dental SciencesNiigata-CityJapan
  2. 2.Division of Diagnostic RadiologyNiigata University Medical and Dental HospitalNiigata-CityJapan
  3. 3.Division of Thoracic and Cardiovascular SurgeryNiigata University Graduate School of Medical and Dental SciencesNiigata-CityJapan
  4. 4.Division of PathologyNiigata University Medical and Dental HospitalNiigata-CityJapan

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