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Pulmonary thromboembolism that developed 16 days after surgery for lung cancer

Tsuchiya, T.; Sano, A.; Fukami, T.

Kyobu Geka. Japanese Journal of Thoracic Surgery 66(9): 855-857

2013

ISSN/ISBN: 0021-5252
PMID: 23917244
Document Number: 665862
An 79-year-old man underwent right upper lobectomy with mediastinal lymph node dissection for lung cancer. He was discharged without complications on postoperative day( POD) 8. However, on POD 16 he become dyspneic at home and was transported to a hospital by ambulance. Pulmonary thromboembolism (PTE) was detected by contrast-enhanced computed tomography. Anticoagulant therapy was initiated and inferior vena cava filter placement was performed.Due to its many possible clinical manifestations, early detection of postoperative PTE is difficult. Therefore prevention of PTE is thought to be more important. Intermittent application of pneumatic compression stockings and preventive anticoagulant therapy may help prevent PTE after surgery.

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