Loscertales Jesus, Congregado Miguel, Arenas Carlos, Arroyo Andres, Giron Juan Carlos, Ayarra Javier, Jimenez-Merchan Rafael
Department of General and Thoracic Surgery, Virgen Macarena University Hospital, Seville, Spain.
Ann Thorac Surg. 2004 Apr;77(4):1426-8. doi: 10.1016/S0003-4975(03)01143-3.
Bronchogenic carcinoma is a rare source of peripheral arterial embolism. We present the case of a 28-year-old female nonsmoker with an adenocarcinoma of the left main bronchus involving the pulmonary veins. While the patient was hospitalized awaiting operation, she presented embolization in her legs; embolectomy and fasciotomy were necessary to treat compartment syndrome. Echocardiography disclosed floating tumoral masses in the left atrium. Seven days later, an operation was performed with cardiopulmonary bypass to remove the tumor masses from the atrial lumen; pulmonary veins were sutured from within the atrium, and pneumonectomy was performed. Fulminant infection of the lower limbs developed that led to gangrene and multiple organ failure, and the patient died 8 days after the operation.
支气管源性癌是外周动脉栓塞的罕见病因。我们报告一例28岁非吸烟女性，患有累及肺静脉的左主支气管腺癌。患者住院等待手术期间，出现腿部栓塞；为治疗骨筋膜室综合征，进行了栓子切除术和筋膜切开术。超声心动图显示左心房有漂浮的肿瘤团块。7天后，在体外循环下进行手术，从心房腔内切除肿瘤团块；从心房内部缝合肺静脉，并进行了肺切除术。下肢发生暴发性感染，导致坏疽和多器官功能衰竭，患者术后8天死亡。
