Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492012000400015
Jornal Vascular Brasileiro
Case Report

Oclusão arterial aguda de membros inferiores por êmbolo tumoral em paciente com neoplasia de pulmão

Acute arterial occlusion of lower limbs caused by tumor embolism in a patient with lung neoplasia

Viviane Queli Macedo de Alcântara; Germana Gabriela Campos de Souza; Rodrigo Dafico Bernardes de Sousa Borges; Paula Sabrina Araújo Milhomem; Werther Souza Sales; Marcelo Luiz Brandão; Ana Lúcia Rassi; Ly de Freitas Fernandes

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Resumo

A embolia arterial periférica originada de tumores malignos é considerada uma manifestação rara da doença neoplásica, podendo se originar de vários sítios, incluindo coração, aorta e veias pulmonares, sendo estas últimas, fontes massivas de embolia por trombo ou tumores com erosão para seu lúmen. Apesar de infrequente, a neoplasia pulmonar deve ser considerada como uma fonte de êmbolos para as extremidades, principalmente quando há invasão neoplásica para as veias pulmonares. Apresentamos o caso de um paciente do sexo masculino submetido à pneumectomia por neoplasia pulmonar, que evoluiu com oclusão arterial aguda de membros inferiores por êmbolo tumoral " a cavaleiro".

Palavras-chave

embolia, neoplasias pulmonares, isquemia

Abstract

Peripheral arterial embolism (PAE) caused by malignant tumors is a rare manifestation of cancer. PAE may originate from several sites, including heart, aorta, and pulmonary veins. Such veins are a major source of thrombotic embolism or tumors with vascular erosion. Although uncommon, lung cancer should be regarded as a source of emboli in the extremities, especially when there is neoplastic invasion of the pulmonary veins. We report on a case of a male patient who underwent pneumonectomy for lung cancer who developed acute arterial occlusion of the lower extremities caused by saddle tumor embolus.

Keywords

embolism, lung neoplasms, ischemia

References

Morsey H, Aslam M, Standfield N. Tumor embolization causing acute ischemia with sometimes fatal results. Case report and review of literature. Int Angiol.. 2004;23(1):82-4.

Fushimi H, Kotoh K, Nakamura H, Tachibana T, Yutani C. Arterial tumour embolism causing acute limb ischaemia. Histopathology.. 1998;32:84-93.

Tassan S, Chabert JP, Tassigny C. Peripheral embolic arterial accident due to pulmonary vein thrombosis revealing bronchial carcinoma. Ann Cardiol Angeiol.. 1998;47:11-3.

Dressler FA, Labovitz AJ. Systemic arterial emboli and cardiac masses. Assessment With Transesophageal Echocardiography. Cardiol Clin.. 1993;11:447-60.

Singh A, Jenkins DP, Dahdal M, Dhar S, Ratnatunga CP. Recurrent arterial embolization from a metastatic germ cell tumor invading the left atrium. Ann Thorac Surg.. 2000;70:2155-6.

Whyte RI, Starkey TD, Orringer MB. Tumor emboli from lung neoplasms involving the pulmonary vein. J Thorac Cardiovasc Surg.. 1992;104(2):421-5.

Tsao JH, Lo HC, How CK, Yen DH, Huang CI. Embolic occlusion of the aorta caused by cardiac myxoma. Resuscitation.. 2010;81(5):511.

Locertales J, Congregado M, Arenas C. Peripheral arterial embolism arising from pulmonary adenocarcinoma. Ann Thorac Surg.. 2004;77:1426-8.

Joshi PS, Pradhan SA. Acute neoplastic arterial embolism after pneumonectomy. Indian J Cancer.. 1998;35:112-4.

Zurcher M, Gerber H, Gebbers JO. Tumor Embolism with fatal cerebral infarct in pneumonectomy. Case report and review of the literature. Chirurg.. 1996;67:959-62.

Lin YH, Chen SY, Liu KL. Queer consequence of cough: atrial myxoma embolization with acute occlusion of the abdominal aorta. Am J Emerg Med.. 2010;28(2):261e1-2.

Vargas AP, Couto M, Mourad JJA. Obstrução aguda de aorta por êmbolo de schwanoma maligno. Cir Vasc Ang.. 1993;9(3).

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