Successful Resection of Rapidly Growing Cavitary Infarction After Pulmonary Emboli

Yojiro Yutaka; Tomoyuki Yunoki; Masahide Isowa; Hiroshi Date

doi:10.1016/j.athoracsur.2020.05.085

Successful Resection of Rapidly Growing Cavitary Infarction After Pulmonary Emboli

Ann Thorac Surg. 2021 Feb;111(2):e117-e119. doi: 10.1016/j.athoracsur.2020.05.085. Epub 2020 Jul 10.

Authors

Yojiro Yutaka¹, Tomoyuki Yunoki², Masahide Isowa³, Hiroshi Date³

Affiliations

¹ Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan. Electronic address: [email protected].
² Department of Primary Care and Emergency Medicine, Kyoto University Hospital, Kyoto, Japan.
³ Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.

PMID: 32653362
DOI: 10.1016/j.athoracsur.2020.05.085

Abstract

Pulmonary cavitation rarely occurs after pulmonary infarction. Compared with bland infarction, infectious cavitary infarction has a higher mortality rate and requires an aggressive surgical approach to improve the outcome. We herein report a cavitary infarction with Pseudomonas infection that rapidly and destructively grew after the development of bilateral pulmonary emboli despite administration of anticoagulation therapy with antibiotics. The pulmonary infarction was successfully resected by right upper lobectomy.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Humans
Infarction / diagnosis
Infarction / etiology
Infarction / surgery*
Lung / blood supply*
Lung / surgery
Male
Middle Aged
Pneumonectomy / methods*
Pulmonary Embolism / complications*
Pulmonary Embolism / diagnosis
Pulmonary Embolism / surgery
Radiography, Thoracic
Tomography, X-Ray Computed