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.
Similar content being viewed by others
References
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.
Trivino A, Cozar F, Congregado M, Loscertales J. Giant solitary fibrous tumor of the pleura. Interact Cardiovasc Thorac Surg. 2011;12(6):1063–5.
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.
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.
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.
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.
Harrison RI, McCaughan BC. Malignancy in a massive localized fibrous tumor of pleura. Aust N Z J Surg. 1992;62(4):311–3.
Bulent A, Sezai C, Tamer O, Ilgaz D. Intrathoracic giant solitary fibrous tumor. Am J Case Rep. 2013;14:91–3.
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Shreyas R. Patel, Prasann Vachhani and Fred Moeslein have no conflicts of interest to declare.
Ethical approval
For this type of study formal consent is not required.
Informed consent
Does not apply.
Rights and permissions
About this article
Cite this article
Patel, S.R., Vachhani, P. & Moeslein, F. Embolic Brain Infarcts: A Rare Fatal Complication of Preoperative Embolization of a Massive Solitary Fibrous Tumor of the Pleura. Cardiovasc Intervent Radiol 40, 306–309 (2017). https://doi.org/10.1007/s00270-016-1501-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-016-1501-4