Case report
Idiopathic Pulmonary Vein Thrombosis: A Rare Cause of Massive Hemoptysis

https://doi.org/10.1016/j.athoracsur.2008.09.061Get rights and content

The case history of an adult female with massive hemoptysis due to idiopathic left inferior pulmonary vein thrombosis necessitating lower lobectomy is presented with a review of the current literature.

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Comment

Based on our scouring of published articles, spontaneous or idiopathic pulmonary vein thrombosis (PVT), as a cause of massive hemoptysis necessitating lung resection is unrecorded in the Anglophone scientific literature. As the entity is relatively unknown and inadequately described in traditional texts, the review that follows attempts to address some pertinent areas of interest (the notation “spontaneous” or “idiopathic” is prefixed to PVT in this case, as no precipitating cause could be

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    Thrombectomy has been successfully performed when medical therapy fails. Lobectomy may be indicated when PVT is complicated with massive hemoptysis or pulmonary necrosis [6,8,14]. Our patient was started with treatment with anti-tuberculosis medications and systemic anticoagulation.

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    Although antibiotics were used in earlier cases, they lack a proven role when the PVT are not associated with infection [22,23]. If lung infarction is suspected because of a severe clinical status, then embolectomy or lobe resection may be indicated [22,24]. The aim of the present study was to clarify whether PVT were rare or not in patients with chest pain, but they didn't have these predisposing factors and whether dabigatran dissolved PVT or not.

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