Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3). doi: 10.1093/icvts/ivac211.
Severe acute ischaemic stroke early after wedge resection is very rare in healthy middle-aged patients. Here, we reviewed the data and characteristics of 9 cases. The infarction resulted from embolism in intracranial arteries, severely impacting the quality of life. In the first 2 patients, the onset symptom was confused with residual anaesthetic effects early after surgery. Drawing from the initial 2 cases, the following 7 patients received accurate diagnosis and emergent endovascular thrombus aspiration with good outcome due to immediate reperfusion. Furthermore, we discuss the principal causes of severe acute stroke in healthy middle-aged patients and the efficacy of endovascular thrombus aspiration.
楔形切除术后早期发生严重急性缺血性脑卒中在健康中年患者中非常罕见。在这里，我们回顾了 9 例患者的数据和特征。脑内动脉栓塞导致的梗死严重影响了患者的生活质量。在前 2 例患者中，发病症状与术后早期残留的麻醉效果相混淆。从最初的 2 例中，以下 7 例患者由于立即再灌注而接受了准确的诊断和紧急血管内血栓抽吸治疗，取得了良好的效果。此外，我们还讨论了健康中年患者发生严重急性脑卒中的主要原因和血管内血栓抽吸的疗效。
