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Surgical Removal of Extensive Left Pulmonary Vein Stump Thrombus After Pulmonary Lobectomy: A Rare Cause of Acute Cerebral Embolism Suguru Ohira, MD, Kiyoshi Doi, MD, PhD, Kazunari Okawa, MD, Takuya Matsushiro, MD, Hitoshi Yaku, MD, PhD The Annals of Thoracic Surgery Volume 96, Issue 6, Pages e135-e136 (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Preoperative transesophageal echocardiography showing an extended thrombus (T) from left upper pulmonary vein to left atrium. Arrowhead indicates Coumadin ridge. (LAA = left atrial appendage; PV = left superior pulmonary vein; T = thrombus.) The Annals of Thoracic Surgery , e135-e136DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Preoperative enhanced computed tomographic view. (A) Arrow indicates thrombus in left superior pulmonary vein stump. (B) Opposite side of thrombus extending into left atrium. The Annals of Thoracic Surgery , e135-e136DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 Schematic view of operation. The left upper pulmonary vein (LSPV) was incised longitudinally (red line). A fresh thrombus (T) was detected at the stump of the LSPV to the left atrium. After removal of the thrombus, the LSPV stump was closed by pursestring suture, and the left atrial appendage was excised. (Ao = ascending aorta; LAA = left atrial appendage; LIPV = left inferior pulmonary vein; PA = pulmonary artery.) The Annals of Thoracic Surgery , e135-e136DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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