Acute Lower Extremity Ischemia Following Thoracotomy due to Arterial Tumor Emboli.

Authors:
Michael Shapiro
Michael Shapiro
University of Utah
Salt Lake City | United States
Sebron Harrison
Sebron Harrison
University of Alabama at Birmingham
United States

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

New York Presbyterian Brooklyn Methodist Hospital, 506 6(th) Street, Brooklyn, NY 11215; New York Presbyterian, Weill Cornell Medicine, New York, NY.

Our patient is a 58 year old woman with metastatic uterine leiomysarcoma with prior resection found to have an isolated metastatic lesion in the upper lobe of the right lung. She underwent a thoracotomy with right upper and middle lobectomy. Following her procedure, she developed acute ischemia of her left lower extremity secondary to an embolized tumor. The patient was treated with thrombectomy and fasciotomy, and she recovered without loss of function of the limb. A literature review demonstrates that acute limb ischemia secondary to tumor emboli remains a rare but potentially devastating complication of metastatic disease.

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Source
https://linkinghub.elsevier.com/retrieve/pii/S00034975193056
Publisher Site
http://dx.doi.org/10.1016/j.athoracsur.2019.03.059DOI Listing

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April 2019
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