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CardioVascular and Interventional Radiology

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01-02-2017 | Case Report

Embolic Brain Infarcts: A Rare Fatal Complication of Preoperative Embolization of a Massive Solitary Fibrous Tumor of the Pleura

Authors: Shreyas R. Patel, Prasann Vachhani, Fred Moeslein

Published in: CardioVascular and Interventional Radiology | Issue 2/2017

Abstract

Solitary fibrous tumor of the pleura (SFTP) is a rare intrathoracic neoplasm, often giant in size and highly vascular, which can make surgical resection very challenging. Preoperative percutaneous embolization before surgical removal can significantly reduce the risk of uncontrollable intraoperative hemorrhage. However, a rare potential life threatening complication could result from embolization of SFTP and must be taken into consideration. This report describes a 69-year-old female with a large right thoracic SFTP, who underwent preoperative angiography and embolization and developed diffuse embolic brain infarcts immediately after the administration of polyvinyl alcohol particles.

Cardillo G, Facciolo F, Cavazzana AO, Cepece G, Gasparri R, Martelli M. Localized (solitary) fibrous tumors of the pleura: an analysis of 55 patients. Ann Thorac Surg. 2000;70(6):1808–12.CrossRefPubMed

Trivino A, Cozar F, Congregado M, Loscertales J. Giant solitary fibrous tumor of the pleura. Interact Cardiovasc Thorac Surg. 2011;12(6):1063–5.CrossRefPubMed

Okkie N, Bernatz PE, Wollner LB. Localized mesolthelioma of the pleura: benign and malignant variants. J Thorac Cardiovasc Surg. 1978;75(3):363–72.

Weiss B, Horton DA. Preoperative embolization of massive solitary fibrous tumor of the pleura. Ann Thorac Surg. 2002;75(3):983–5.CrossRef

Pond F, Wilson A, McKelvie P. Localized fibrous tumour of the pleura: two case reviews. Aust N Z J Surg. 1997;67(11):821–4.CrossRefPubMed

Briselli M, Mark EJ, Dickersin GR. Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer. 1981;47(11):2678–89.CrossRefPubMed

England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumor of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13(8):640–58.CrossRefPubMed

Harrison RI, McCaughan BC. Malignancy in a massive localized fibrous tumor of pleura. Aust N Z J Surg. 1992;62(4):311–3.CrossRefPubMed

Bulent A, Sezai C, Tamer O, Ilgaz D. Intrathoracic giant solitary fibrous tumor. Am J Case Rep. 2013;14:91–3.CrossRef

10.

Guo J, Chu X, Sun Y, Zhang L, Zhou N. Giant solitary fibrous tumor of the pleura: an analysis of five Patients. World J Surg. 2010;34(11):2553–7.CrossRefPubMedPubMedCentral

11.

Kaul P, Kay S, Gaines P, Suvarna SK, Hopkinson DN, Rocco G. Giant pleural fibroma with an abdominal vascular supply mimicking a pulmonary sequestration. Ann Thorac Surg. 2003;76(3):935–7.CrossRefPubMed

12.

Khairy M, Othman MH, Ali EM, Eldin EN. Preoperative embolization in surgical management of massive thoracic tumors. Asian Cardiovasc Thorac Ann. 2012;20(6):689–93.CrossRefPubMed

13.

Dammand T, Duchesne J, Pasnick S. Case report of medical thoracoscopy and endobronchial ultrasound bronchoscopy in the workup of giant solitary fibrous tumor of the pleura. Medicine (Baltimore). 2016;95(27):e4100.CrossRef

Title: Embolic Brain Infarcts: A Rare Fatal Complication of Preoperative Embolization of a Massive Solitary Fibrous Tumor of the Pleura
Authors: Shreyas R. Patel
Prasann Vachhani
Fred Moeslein
Publication date: 01-02-2017
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1501-4

At a glance: The STEP trials

Springer Medicine

Embolic Brain Infarcts: A Rare Fatal Complication of Preoperative Embolization of a Massive Solitary Fibrous Tumor of the Pleura

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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